Whalio Doctors

NPI 1780804351

Spine Medical Center of Jackson

Organisation Physical Medicine & Rehabilitation Physician Jackson, MS

Practice location

Address
1151 N State St Suite 508, Jackson, MS 39202-2407
Phone
(601) 948-8293
Fax
(601) 948-8296
Mailing address
PO Box 2156, Gulfport, MS 39505-2156

Authorised official

Name
Howard Tuck Katz
Title
Dr.
Phone
(601) 948-8293

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 10893 (MS)

Registry record

NPI
1780804351
Entity type
Organization
NPI issued
26 Apr 2007
Record last updated
22 Aug 2020

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.