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Contact Information

UPA PLLC INFECTIOUS DISEASE
2500 N STATE ST
JACKSON, MS39216-4500
 Phone: 601-984-5206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for UPA PLLC INFECTIOUS DISEASE · (Female)

NPI Number 1891848651
Status Active
Credentials
Entity Individual
Enumeration date 01/18/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 09014115
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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