ROWDY CHANCE LEE

JACKSON, MS
NPI1063848075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: MS  T-4299)
Additional Taxonomies363A00000X Physician Assistant
(Licence: MS  PA00186)
363A00000X Physician Assistant
(Licence: AL  PA976)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-09-23
Last Update Date2021-07-21
Business Address
ROWDY CHANCE LEE MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5153
Mailing Address
ROWDY CHANCE LEE MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5153