Children's Medical Group, P.a.

NPI #1588700603 in Jackson, Mississippi

Provider Information

NPI Number: 1588700603
Entity Type: Organization
Organization Name: Children's Medical Group, P.a.
Primary Specialty: Pediatrics
Enumeration Date: Jan 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1867 CRANE RIDGE DR STE 101B
City: Jackson
State: Mississippi
ZIP Code: 39216-4956
Phone: (601) 362-8776

Authorized Official

Name: DR. WILLIAM H. SMITH JR., M.D.
Title: PRESIDENT
Phone: (601) 856-5105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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