| Jackson Neurology Associates | |
|
971 Lakeland Dr Suite 1151 Jackson MS 39216-4643 | |
| (601) 981-0034 | |
| (601) 981-0099 |
| Full Name | Jackson Neurology Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 971 Lakeland Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Sharmila Tiwari (MANAGER) |
| Authorized Official Contact | 6019810034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Neurology Associates 971 Lakeland Dr Suite 1151 Jackson MS 39216-4643 Ph: (601) 981-0034 | Jackson Neurology Associates 971 Lakeland Dr Suite 1151 Jackson MS 39216-4643 Ph: (601) 981-0034 |
| NPI Number | 1942231543 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7618140732 |
|---|---|
| Medicare Enrollment ID | O20111104000095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942231543 | NPI | - | NPPES |
| 06921064 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Salil C Tiwari |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1922039528 PECOS PAC ID: 0547301228 Enrollment ID: I20111104000192 |
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