NPI 1902837313

Mississippi Urology Clinic, PLLC

Organisation Urology Physician Jackson, MS

Practice location

Address: 501 Marhsall St Suite 301, Jackson, MS 39202
Phone: (601) 353-9900
Fax: (601) 985-3199

Authorised official

Name: Jerry Kempf Poole
Title: Chief Administrative Officer
Phone: (601) 985-3169

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Mississippi →

Registry record

NPI: 1902837313
Entity type: Organization
NPI issued: 5 Jul 2006
Record last updated: 11 Oct 2018

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.