| NPI | 1780894253 |
|---|---|
| Other Name | JEFFERSON COUNTY HOSPITAL ER PHYSICIAN CLAIMS |
| Entity Type | Organization |
| Authorized Contact | JERRY KENNEDY Administrator 601-786-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: MS 14721) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 14997) |
| 207Q00000X Family Medicine (Licence: MS 07965) | |
| 207R00000X Internal Medicine (Licence: MS 16670) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2025-09-11 |