Four Corners Psychiatry Pllc
NPI #1790477636 in Jackson, Mississippi
Provider Information
- NPI Number
- 1790477636
- Entity Type
- Organization
- Organization Name
- Four Corners Psychiatry Pllc
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- May 22, 2023
- Last Updated
- May 22, 2023
Practice Location
- Address
- 1225 N STATE ST
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39202-2064
- Phone
- (601) 968-1031
Authorized Official
- Name
- JARED KEROME TAYLOR, MD
- Title
- SOLE MBR
- Phone
- (601) 946-9372
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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