State of Mississippi - University of Mississippi Medical Center
NPI #1699761064 in Jackson, Mississippi
Provider Information
- NPI Number
- 1699761064
- Entity Type
- Organization
- Organization Name
- State of Mississippi - University of Mississippi Medical Center
- Primary Specialty
- Rehabilitation Unit
- Enumeration Date
- Sep 21, 2005
- Last Updated
- Apr 1, 2011
Practice Location
- Address
- 2500 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-4500
- Phone
- (866) 842-7574
Authorized Official
- Name
- MR. DAVID PUTT
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (601) 984-4173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Unit |
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