Va Jackson
NPI #1265508287 in Jackson, Mississippi
Provider Information
- NPI Number
- 1265508287
- Entity Type
- Organization
- Organization Name
- Va Jackson
- Primary Specialty
- Military Hospital
- Enumeration Date
- Nov 28, 2006
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 1500 E WOODROW WILSON AVE
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5116
- Phone
- (601) 364-1359
Authorized Official
- Name
- WILLIAM TIDWELL
- Title
- RADIOLOGY
- Phone
- (601) 898-4777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Hospital |
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