| Maxillofacial Surgery Center Of Central Mississippi | |
|
266 Katherine Dr Jackson MS 39232-8801 | |
| (601) 420-3223 | |
| (601) 420-3054 |
| Full Name | Maxillofacial Surgery Center Of Central Mississippi |
|---|---|
| Speciality | Specialist |
| Location | 266 Katherine Dr, Jackson, Mississippi |
| Authorized Official Name and Position | J Joel Drummond (CO-OWNER) |
| Authorized Official Contact | 6014203223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxillofacial Surgery Center Of Central Mississippi 266 Katherine Dr Jackson MS 39232-8801 Ph: (601) 420-3223 | Maxillofacial Surgery Center Of Central Mississippi 266 Katherine Dr Jackson MS 39232-8801 Ph: (601) 420-3223 |
| NPI Number | 1609960749 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609960749 | NPI | - | NPPES |
| 00123548 | Medicaid | MS | |
| 00123549 | Medicaid | MS |
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