| Doctor Name: | JONATHAN CHRISTOPHER SLEDGE |
| NPI Number: | 1982868782 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 20883 |
| Business Practice Address: | 2500 N State St Jackson, MS - 392164500 |
| Business Phone Number: | 6019841000 |
| Business Fax Number: | |
| Mailing Address: | 471 Magnolia Pl, BRANDON |
| State: | MS |
| Postal Code: | 390428482 |
| Phone Number: | 2053352774 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2008 |
| NPI Last Update Date: | 01/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20883 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |