NPI 1740623768
Department of Veterans Affairs
Practice location
- Address
- 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
- Phone
- (601) 362-4471
- Mailing address
- 5044 Harling Pl, Jackson, MS 39211-4731
Authorised official
- Name
- Johnnie Smith
- Title
- Respiratory Technical Director
- Phone
- (601) 362-4471
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1740623768
- Entity type
- Organization
- NPI issued
- 9 Apr 2013
- Record last updated
- 9 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.