PATHWAY HEALTHCARE JACKSON MS LLC JACKSON, MS

Contact Information

PATHWAY HEALTHCARE - JACKSON, MS, LLC

1200 N STATE ST STE 450
JACKSON, MS 39202-2000

Phone: 205-208-9312
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Addiction Medicine	207QA0401X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for PATHWAY HEALTHCARE JACKSON MS LLC · (Female)

NPI #	`1487179156`
Status	Active
Credentials
Entity	Individual
Enumeration date	08/03/2017
Last updated	05/11/2023 - About 3 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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