NPI 1023202272

Derek Letort, MD

Practitioner Neurology Physician Jackson, MS

Practice location

Address: 1200 N State St STE 420, Jackson, MS 39202-2027
Phone: (601) 355-3353
Fax: (601) 355-3365
Mailing address: 965 Ridge Lake Blvd STE 103, Memphis, TN 38120-9446

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence 20226 (MS)

Other Psychiatry & Neurology providers in Mississippi →

Registry record

NPI: 1023202272
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Aug 2007
Record last updated: 8 Jul 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.