Doctor Name: | DR. JAMES MATTHEWS HARRISON |
NPI Number: | 1316147416 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 19081 |
Business Practice Address: | 2500 N State St Emergency Dept. Jackson, MS - 392164500 |
Business Phone Number: | 6019844001 |
Business Fax Number: | |
Mailing Address: | 221 Viewpointe Cv, CLINTON |
State: | MS |
Postal Code: | 390566079 |
Phone Number: | 6015599103 |
Fax Number: | |
NPI Enumeration Date: | 07/18/2007 |
NPI Last Update Date: | 09/05/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 19081 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |