UPA PLLC ADOLESCENT MED

JACKSON, MS
NPI1205953809
Entity TypeOrganization
Authorized ContactOWEN B EVANS
Managing Employee
601-984-5214
Organization Subpart ?No
Primary Taxonomy2080A0000X Pediatrics Adolescent Medicine
Enumeration Date2007-03-26
Last Update Date2008-06-24
Business Address
UPA PLLC ADOLESCENT MED
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5236
Mailing Address
UPA PLLC ADOLESCENT MED
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5236
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