JONATHAN EDWARD DISMUKES

JACKSON, MS
NPI1609570449
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-27
Last Update Date2023-03-27
Business Address
JONATHAN EDWARD DISMUKES MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5601
Mailing Address
JONATHAN EDWARD DISMUKES MD
1804 WINNSBORO RD
BIRMINGHAM, AL 35213-1742
Phone number: 251-533-3981
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