STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

NPI # 

Practice Address:

350 W Woodrow Wilson Ave , Suite 479

Jackson, MS, 39213-7681

Practice Phone:

601-815-6350

Practice Fax:

601-815-6348

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

End-Stage Renal Disease (ESRD) Treatment

Taxonomy Code:

261QE0700X