Jackson Neurosurgery Clinic, Pllc
NPI #1740364785 in Flowood, Mississippi
Provider Information
- NPI Number
- 1740364785
- Entity Type
- Organization
- Organization Name
- Jackson Neurosurgery Clinic, Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Oct 28, 2016
Practice Location
- Address
- 1080 RIVER OAKS DR
- Address 2
- SUITE B-103
- City
- Flowood
- State
- Mississippi
- ZIP Code
- 39232-9779
- Phone
- (601) 366-1011
Authorized Official
- Name
- ZOE LEWIS
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (601) 321-1504
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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