NPI 1407290703

G.V. Sonny Montgomery Medical Center

Organisation Military Hospital Jackson, MS

Practice location

Address: 425 Beasley Rd APT K5, Jackson, MS 39206-2929
Phone: (601) 362-4471
Mailing address: 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116

Authorised official

Name: Tamatha Tenille Watson
Title: Registered Respiratory Therapist
Phone: (601) 362-4471

Registered specialties

Military Hospital Primary

Hospitals Taxonomy 286500000X Licence RCP4433 (MS)

Other Military Hospital providers in Mississippi →

Registry record

NPI: 1407290703
Entity type: Organization
NPI issued: 18 Apr 2013
Record last updated: 18 Apr 2013

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.