Upa Pllc Jackson Med Mall
NPI #1386797991 in Jackson, Mississippi
Provider Information
- NPI Number
- 1386797991
- Entity Type
- Organization
- Organization Name
- Upa Pllc Jackson Med Mall
- Primary Specialty
- Pediatrics
- Enumeration Date
- Jan 18, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2500 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (601) 984-2198
Authorized Official
- Name
- OWEN B EVANS, M.D.
- Title
- MANAGER
- Phone
- (601) 984-5214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
Similar Providers
| Provider Name | |
|---|---|
| Lauren K Tucker, MD | |
| Emily S Weber, M.D. | |
| DR. Taylor Danielle Mayes, DO | |
| MR. Marcelo Eduardo Rains, M.D. | |
| Logan Sears Havard, MD |
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