University Internal Medicine Assoc Llp | |
2500 N State St Department Of Medicine Jackson MS 39216-4500 | |
(601) 984-5600 | |
Not Available |
Full Name | University Internal Medicine Assoc Llp |
---|---|
Speciality | Internal Medicine |
Location | 2500 N State St, Jackson, Mississippi |
Authorized Official Name and Position | Richard Deshazo (MANAGING PARTNER) |
Authorized Official Contact | 6019873988 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
University Internal Medicine Assoc Llp 1867 Crane Ridge Dr Ste 150-a University Internal Medicine Associates, Llp Jackson MS 39216-4982 Ph: (601) 987-3988 | University Internal Medicine Assoc Llp 2500 N State St Department Of Medicine Jackson MS 39216-4500 Ph: (601) 984-5600 |
NPI Number | 1083656870 |
---|---|
Provider Enumeration Date | 06/13/2006 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083656870 | NPI | - | NPPES |
09012352 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (Mississippi) | Primary |
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