NPI 1013563527

State of Mississippi - University of Mississippi Medical Center

Organisation Orthopaedic Surgery Physician Jackson, MS

Practice location

Address: 1410 E Woodrow Wilson Ave STE I, Jackson, MS 39216-5114
Phone: (601) 984-6525
Mailing address: 2500 N. State Street Cbo - Suite 4200, Jackson, MS 39216-4500

Authorised official

Name: Jeffrey Grimsley
Title: Cfo
Phone: (601) 496-9801

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

Other Orthopaedic Surgery providers in Mississippi →

Prosthetic/Orthotic Supplier

Suppliers Taxonomy 335E00000X

Other Prosthetic/Orthotic Supplier providers in Mississippi →

Registry record

NPI: 1013563527
Entity type: Organization
NPI issued: 12 Aug 2019
Record last updated: 12 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.