State of Mississippi- University of Mississippi Medical Center

NPI #1194930693 in Jackson, Mississippi

Provider Information

NPI Number
1194930693
Entity Type
Organization
Organization Name
State of Mississippi- University of Mississippi Medical Center
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
May 10, 2007
Last Updated
Oct 2, 2007

Practice Location

Address
350 W WOODROW WILSON AVE
Address 2
SUITE 479
ZIP Code
39213-7681
Phone
(601) 815-6350

Authorized Official

Name
WILLIAM KENNEDY
Title
ASSOCIATE ADMINISTRATOR
Phone
(601) 984-4699

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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