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1215025358
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA
JACKSON, MS
NPI
1215025358
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Entity Type
Organization
Authorized Contact
WALLACE W WEATHERLY
Physician/Owner
601-856-5633
Organization Subpart ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
Enumeration Date
2006-10-11
Last Update Date
2014-03-28
Business Address
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA
1801 CRANE RIDGE DR SUITE C
JACKSON, MS 39216-4902
Phone number: 601-981-5633
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Mailing Address
WEATHERLY SPORTS MEDICINE & FAMILY ORTHOPAEDICS, PA
PO BOX 1154
MADISON, MS 39130-1154
Phone number: 601-981-5633
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