Healthcare Provider Details

I. General information

NPI: 1558398909
Provider Name (Legal Business Name): JOE C. FILES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 04/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NORTH STATE STREET DEPARTMENT OF MEDICINE/DIVISION OF HEMATOLOGY
JACKSON MS
39216-4500
US

IV. Provider business mailing address

2500 NORTH STATE STREET DIVISION OF HEMATOLOGY
JACKSON MS
39216-4500
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-5615
  • Fax:
Mailing address:
  • Phone: 601-984-5615
  • Fax: 601-984-5689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number06403
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: