NPI 1144817115
Joseph Matthew Fairley
Practice location
- Address
- 1466 Kristen Dr, Jackson, MS 39211-2115
- Phone
- (601) 497-4757
Registered specialties
Non-emergency Medical Transport (VAN)
Primary
Registry record
- NPI
- 1144817115
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 24 Dec 2020
- Record last updated
- 24 Dec 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.