Greater Jackson Obgyn LLC
NPI #1154956134 in Jackson, Mississippi
Provider Information
- NPI Number
- 1154956134
- Entity Type
- Organization
- Organization Name
- Greater Jackson Obgyn LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Mar 10, 2020
- Last Updated
- Nov 23, 2020
Practice Location
- Address
- 501 MARSHALL ST STE 502
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-1661
- Phone
- (769) 233-8585
Authorized Official
- Name
- DEBRA AMY MARTIN
- Title
- OFFICE MANAGER
- Phone
- (769) 233-8585
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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