Organization · Type 2 NPI
Jackson Vamc
VA Clinic/Center · Hattiesburg, MS
NPI number
1376598698
Active
Practice location
5003 Hardy Street, Tower B Suite 402
Hattiesburg, MS 39402-1331
Mailing address
PO Box 94497
Cleveland, OH 44101-4497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1376598698
Jackson Vamc's National Provider Identifier is 1376598698, issued on May 24, 2006. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Hattiesburg, MS. The record was last updated on Oct 4, 2017.