Jackson Neuroscience Center
NPI #1417314865 in Ridgeland, Mississippi
Provider Information
- NPI Number
- 1417314865
- Entity Type
- Organization
- Organization Name
- Jackson Neuroscience Center
- Primary Specialty
- Psychoanalyst
- Enumeration Date
- Jan 15, 2016
- Last Updated
- Jan 15, 2016
Practice Location
- Address
- 207 W JACKSON ST
- Address 2
- SUITE 1
- City
- Ridgeland
- State
- Mississippi
- ZIP Code
- 39157-2355
- Phone
- (601) 992-5943
Authorized Official
- Name
- RON MILONE
- Title
- MGR
- Phone
- (601) 992-5943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychoanalyst |
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