Evernorth Care Providers - Tennessee PC
NPI #1619650041 in Ridgeland, Mississippi
Provider Information
- NPI Number
- 1619650041
- Entity Type
- Organization
- Organization Name
- Evernorth Care Providers - Tennessee PC
- Primary Specialty
- Internal Medicine - Hospice and Palliative Medicine
- Enumeration Date
- Aug 11, 2023
- Last Updated
- Jul 14, 2025
Practice Location
- Address
- 1000 HIGHLAND COLONY PKWY STE 5203
- City
- Ridgeland
- State
- Mississippi
- ZIP Code
- 39157-2079
- Phone
- (773) 292-4800
Authorized Official
- Name
- JACQUELINE D LAKES
- Title
- SENIOR PARALEGAL
- Phone
- (954) 446-0640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Hospice and Palliative Medicine — Hospice and Palliative Medicine |
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