Upa Pllc North Clinic
NPI #1649397373 in Jackson, Mississippi
Provider Information
- NPI Number
- 1649397373
- Entity Type
- Organization
- Organization Name
- Upa Pllc North Clinic
- Primary Specialty
- Pediatrics
- Enumeration Date
- Mar 26, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5965 I 55 N
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39213-9722
- Phone
- (601) 815-5300
Authorized Official
- Name
- OWEN B EVANS, M.D.
- Title
- MANAGING EMPLOYEE
- Phone
- (601) 984-5214
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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