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Contact Information

RUTH K. FREDERICKS, M.D.
971 LAKELAND DR
SUITE 557, WEST TOWER
JACKSON, MS39216-4643
 Phone: 601-326-4602
 Fax: 601-326-4632
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for RUTH K. FREDERICKS, M.D.

NPI # 1427007400
LBN Legal business name RUTH K. FREDERICKS, M.D.
Authorized official RUTH FREDERICKS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/08/2006
Last updated 03/15/2013 - About 13 years ago
Identifiers
MS License # 11722
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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