Organization · Type 2 NPI

State of Mississippi- University of Mississippi Medical Center

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Jackson, MS

NPI number 1194930693 Active

Practice location

350 W Woodrow Wilson Ave, Suite 479
Jackson, MS 39213-7681

Fax (601) 815-6348

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1194930693

State of Mississippi- University of Mississippi Medical Center's National Provider Identifier is 1194930693, issued on May 10, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Jackson, MS. The record was last updated on Oct 2, 2007.