FRED WALLACE RUSHTON

JACKSON, MS
NPI1194825323
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0129X 
(Licence: MS  06237)
Enumeration Date2006-09-25
Last Update Date2014-04-22
Business Address
-- FRED WALLACE RUSHTON MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-925-6805
Mailing Address
-- FRED WALLACE RUSHTON MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6426
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