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Contact Information

RAYMOND L PORTIS, MD
1200 N STATE ST
SUITE 480
JACKSON, MS39202-2000
 Phone: 601-352-2273
 Fax: 601-714-3415
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RAYMOND L PORTIS · (Male)

NPI # 1437312915
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2008
Last updated 02/05/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 21256
  • MS Medicaid 00809533
Hospital affiliation(s)
  • CROSSGATES RIVER OAKS HOSPITAL - (Acute Care)
    350 CROSSGATES BLVD
    BRANDON, MS 39042
  • KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN - (Acute Care)
    P O BOX 948/427 HIGHWAY 51 NORTH
    BROOKHAVEN, MS 39601
  • MADISON RIVER OAKS MEDICAL CENTER - (Acute Care)
    161 RIVER OAKS DRIVE
    CANTON, MS 39046
  • 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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