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Contact Information

BAPTIST JACKSON HEART CARDIOLOGY CLINIC-CRYSTAL SPRINGS
123 BOBO DRIVE
CRYSTAL SPRINGS, MS39059
 Phone: 601-292-4261
 Fax: 601-944-9780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BAPTIST JACKSON HEART CARDIOLOGY CLINIC CRYSTAL SPRINGS · (Female)

NPI Number 1447510581
Status Active
Credentials
Entity Individual
Enumeration date 05/23/2012
Last updated 05/23/2012 - About 14 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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