Provider First Line Business Practice Location Address:
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Provider Second Line Business Practice Location Address:
2500 N STATE STREET
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
228-669-8256
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2024