Jackson Orthopaedic Clinic, PA
NPI #1215084967 in Jackson, Mississippi
Provider Information
- NPI Number
- 1215084967
- Entity Type
- Organization
- Organization Name
- Jackson Orthopaedic Clinic, PA
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Jan 4, 2007
- Last Updated
- Apr 8, 2013
Practice Location
- Address
- 971 LAKELAND DR
- Address 2
- SUITE 950
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4643
- Phone
- (601) 981-7212
Authorized Official
- Name
- DR. DAVID J GANDY I, M.D.
- Title
- PRESIDENT
- Phone
- (601) 981-7212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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