Central Ms Endocrinology

Organization Active NPI Endocrinology, Diabetes & Metabolism Physician · Jackson, MS

NPI 1053501643 · NPPES record last updated Jul 30, 2007

Key facts

NPI
1053501643
Entity type
Organization (NPI type 2)
Primary specialty
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Legal business name
CENTRAL MS ENDOCRINOLOGY
Practice address
1860 Chadwick Dr
Suite 201
Jackson, MS 39204-3463
Phone
(601) 376-1208
Fax
(601) 376-1209
NPI assigned
Jul 30, 2007
Organization subpart
Yes
Parent organization (as reported)
RIVER OAKS MANAGEMENT COMPANY, INC.

Authorized official

Name
Brad Sinclair
Title
Regional Manager
Phone
(601) 936-3102

Corporate family (same tax ID) 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

National Provider Directory

Tax ID family
River Oaks Management LLC (40 organizations share this tax ID)
Part of
River Oaks Management LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RE0101X Yes

Addresses

Primary practice location

1860 Chadwick Dr
Suite 201
Jackson, MS 39204-3463

Mailing address

1860 Chadwick Dr
Suite 201
Jackson, MS 39204-3463
Phone (601) 376-1208

Other providers in Jackson, MS

All providers in Jackson, MS · Endocrinology, Diabetes & Metabolism Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.