Whalio Doctors

NPI 1790777142

Jack Q Causey, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Gulfport, MS

Practice location

Address
4500 13th St, Gulfport, MS 39501-2515
Phone
(228) 867-4000
Fax
(228) 575-2380
Mailing address
19648 Champion Cir, Gulfport, MS 39503-7668

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 11872 (MS)
Specialist
Other Service Providers Taxonomy 174400000X Licence 11872 (MS)

Registry record

NPI
1790777142
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Aug 2005
Record last updated
7 Nov 2007

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.