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Contact Information

JACK J RODRIGUEZ, MD
106 JEFFERSON DAVIS BLVD
SUITE 120
NATCHEZ, MS39120-5104
 Phone: 601-442-9210
 Fax: 601-442-7409
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JACK J RODRIGUEZ · (Male)

NPI Number 1184623886
Status Active
Credentials MD
Entity Individual
Enumeration date 07/15/2005
Last updated 02/01/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 15252
  • MS Medicaid 00123444
  • MS Medicaid 09015568
Hospital affiliation(s)
  • FRANKLIN COUNTY MEMORIAL HOSPITAL - (Critical Access)
    40 UNION CHURCH RD
    MEADVILLE, MS 39653
  • NATCHEZ REGIONAL MEDICAL CENTER - (Acute Care)
    52 SEARGENT PRENTISS DRIVE
    NATCHEZ, MS 39120
  • RIVERLAND MEDICAL CENTER - (Critical Access)
    1700 WALLACE BLVD
    FERRIDAY, LA 71334
  • SOUTHWEST MS REGIONAL MEDICAL CENTER - (Acute Care)
    215 MARION AV BOX 1307
    MCCOMB, MS 39649
  • ST DOMINIC-JACKSON MEMORIAL HOSPITAL - (Acute Care)
    969 LAKELAND DR
    JACKSON, MS 39216
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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