| University Neurology Group, Pllc | |
|
2500 North State Street Jackson MS 39216 | |
| (601) 984-5500 | |
| (601) 984-5499 |
| Full Name | University Neurology Group, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2500 North State Street, Jackson, Mississippi |
| Authorized Official Name and Position | James J. Corbett (CHAIR AND MANAGING PARTNER) |
| Authorized Official Contact | 6019845500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Neurology Group, Pllc Po Box 4528 Jackson MS 39296-4528 Ph: (601) 984-5500 | University Neurology Group, Pllc 2500 North State Street Jackson MS 39216 Ph: (601) 984-5500 |
| NPI Number | 1770599110 |
|---|---|
| Provider Enumeration Date | 07/31/2006 |
| Last Update Date | 08/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770599110 | NPI | - | NPPES |
| 9012340 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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