| Cogent Healthcare Of Jackson Ms, Llc | |
|
969 Lakeland Dr Jackson MS 39216-4606 | |
| (601) 362-4890 | |
| Not Available |
| Full Name | Cogent Healthcare Of Jackson Ms, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 969 Lakeland Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Susan A. Brownie (TREASURER) |
| Authorized Official Contact | 6153775630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cogent Healthcare Of Jackson Ms, Llc 5410 Maryland Way Suite 300 Brentwood TN 37027-5064 Ph: (615) 377-5670 | Cogent Healthcare Of Jackson Ms, Llc 969 Lakeland Dr Jackson MS 39216-4606 Ph: (601) 362-4890 |
| NPI Number | 1699726836 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699726836 | NPI | - | NPPES |
| 09185308 | Medicaid | MS |
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