Jefferson Neurology Clinic, LLC
NPI #1518486943 in Laurel, Mississippi
Provider Information
- NPI Number
- 1518486943
- Entity Type
- Organization
- Organization Name
- Jefferson Neurology Clinic, LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 18, 2017
- Last Updated
- Jan 27, 2024
Practice Location
- Address
- 319 S 13TH AVE
- City
- Laurel
- State
- Mississippi
- ZIP Code
- 39440-4342
- Phone
- (601) 649-2863
Authorized Official
- Name
- AREMMIA TANIOUS
- Title
- OWNER
- Phone
- (601) 426-2140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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