Healthcare Provider Details

I. General information

NPI: 1932132495
Provider Name (Legal Business Name): HONEY E EAST MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 08/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N STATE ST SUITE 500
JACKSON MS
39202-2000
US

IV. Provider business mailing address

1600 N STATE ST SUITE 400
JACKSON MS
39202-1689
US

V. Phone/Fax

Practice location:
  • Phone: 601-352-2273
  • Fax: 601-714-3415
Mailing address:
  • Phone: 601-944-1717
  • Fax: 601-944-9780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number15966
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: