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Contact Information

ERIC K UNDESSER, MD, PHD
1500 E WOODROW WILSON AVE
JACKSON, MS39216-5116
 Phone: 601-364-1285
 Fax: 601-364-1257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for ERIC K UNDESSER · (Male)

NPI Number 1124051321
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 07/09/2006
Last updated 04/07/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 11945
  • TX License # G8472
  • MS Medicaid 09880325
Hospital affiliation(s)
  • UNIVERSITY OF MISSISSIPPI MED CENTER - (Acute Care)
    2500 N STATE ST
    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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