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Contact Information

GUANGZHI QU, MD
2969 CURRAN DR N
STE 200
JACKSON, MS39216-4121
 Phone: 601-974-5600
 Fax: 601-974-5699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GUANGZHI QU · (Male)

NPI # 1790780716
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2005
Last updated 04/27/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 18238
  • LA Medicaid 1167941
  • MS Medicaid 01573550
  • Other 7090432 AETNA HEALTHCARE
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER-LEAKE - (Critical Access)
    310 ELLIS STREET
    CARTHAGE, MS 39051
  • HARDY WILSON MEMORIAL HOSPITAL CAH - (Critical Access)
    233 MAGNOLIA STREET
    HAZLEHURST, MS 39083
  • MISSISSIPPI BAPTIST MEDICAL CENTER - (Acute Care)
    1225 N STATE ST
    JACKSON, MS 39202
  • 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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