Jackson Pediatric Associates P a
NPI #1659556298 in Jackson, Mississippi
Provider Information
- NPI Number
- 1659556298
- Entity Type
- Organization
- Organization Name
- Jackson Pediatric Associates P a
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- JACKSON PEDIATRIC ASSOCIATES
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 2, 2008
- Last Updated
- Nov 15, 2011
Practice Location
- Address
- 1824 HOSPITAL DR
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-3410
- Phone
- (601) 346-4586
Authorized Official
- Name
- DR. YOLANDA W WILSON, M.D.
- Title
- PRESIDENT
- Phone
- (601) 707-5381
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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