Jackson Surgical Group PA

NPI #1861674723 in Jackson, Mississippi

Provider Information

NPI Number: 1861674723
Entity Type: Organization
Organization Name: Jackson Surgical Group PA
Primary Specialty: Surgery
Enumeration Date: Dec 3, 2007
Last Updated: Apr 25, 2014

Practice Location

Address: 1190 N STATE ST
Address 2: SUITE L01
City: Jackson
State: Mississippi
ZIP Code: 39202-2413
Phone: (601) 292-4292

Authorized Official

Name: AUSTIN FREDERICK PARKER II, MD
Title: GENERAL SURGEON
Phone: (601) 946-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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