Jackson Neurosurgery Clinic Pllc
NPI #1265768618 in Jackson, Mississippi
Provider Information
- NPI Number
- 1265768618
- Entity Type
- Organization
- Organization Name
- Jackson Neurosurgery Clinic Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 20, 2009
- Last Updated
- May 4, 2015
Practice Location
- Address
- 971 LAKELAND DR
- Address 2
- SUITE 1250
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4643
- Phone
- (601) 366-1011
Authorized Official
- Name
- ZOE LEWIS
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (601) 366-1011
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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