Centerwell Senior Primary Care Ms PC
NPI #1710693619 in Jackson, Mississippi
Provider Information
- NPI Number
- 1710693619
- Entity Type
- Organization
- Organization Name
- Centerwell Senior Primary Care Ms PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTERWELL SENIOR PRIMARY CARE MS PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jan 25, 2023
- Last Updated
- Jul 3, 2024
Practice Location
- Address
- 1220 E NORTHSIDE DR STE 220
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39211-5503
- Phone
- (601) 298-4173
Authorized Official
- Name
- ANGIE MARTINEZ
- Title
- SENIOR CREDENTIALING PROFESSIONAL
- Phone
- (407) 447-7120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| General Practice |
| Internal Medicine |
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