ANGELA R SUBAUSTE

JACKSON, MS
NPI1194808030
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: MS  22041)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  4301080359)
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: MI  4301080359)
Enumeration Date2006-10-23
Last Update Date2014-04-09
Business Address
-- ANGELA R SUBAUSTE MD
2500 NORTH STATE STREET
JACKSON, MS 39216
Phone number: 601-984-5525
Mailing Address
-- ANGELA R SUBAUSTE MD
2500 NORTH STATE STREET HYPERTENSION
JACKSON, MS 39216
Phone number: 601-984-5525