| Mississippi Neurological Institute Llc | |
|
2525 Lakeward Dr Ste 100a Jackson MS 39216-4827 | |
| (601) 408-1415 | |
| Not Available |
| Full Name | Mississippi Neurological Institute Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2525 Lakeward Dr Ste 100a, Jackson, Mississippi |
| Authorized Official Name and Position | Lyndsey Cumberland (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6019441781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Neurological Institute Llc 1190 N State St Ste 502 Jackson MS 39202-2414 Ph: (601) 944-1781 | Mississippi Neurological Institute Llc 2525 Lakeward Dr Ste 100a Jackson MS 39216-4827 Ph: (601) 408-1415 |
| NPI Number | 1780494534 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Certification Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780494534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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