State of Mississippi - University of Mississippi Medical Center

NPI #1639898877 in Jackson, Mississippi

Provider Information

NPI Number: 1639898877
Entity Type: Organization
Organization Name: State of Mississippi - University of Mississippi Medical Center
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Aug 23, 2022
Last Updated: May 1, 2024

Practice Location

Address: 2500 N. STATE STREET
Address 2: BIG MOUTH BASS CLINIC - SANDERSON TOWER - LEVEL B
City: Jackson
State: Mississippi
ZIP Code: 39216-4500
Phone: (601) 984-6025

Authorized Official

Name: JEFFREY GRIMSLEY
Title: CFO
Phone: (601) 815-6270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prosthetic/Orthotic Supplier	335E00000X
Orthopaedic Surgery	207X00000X	Primary

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