Organization · Type 2 NPI

Medical Foundation of Central MS

Pediatric Surgery Physician · Jackson, MS

NPI number 1568709574 Active

Practice location

501 Marshall St, Suite 500
Jackson, MS 39202-1651

Fax (601) 944-9780

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120XNone listed

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

54 other providers at this address

About NPI 1568709574

Medical Foundation of Central MS's National Provider Identifier is 1568709574, issued on Jan 10, 2013. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Jackson, MS. The record was last updated on Jan 10, 2013.