Healthcare Provider Details

I. General information

NPI: 1770571002
Provider Name (Legal Business Name): SHEILA G LINDLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 02/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NORTH STATE STREET ORTHOPAEDIC SURGERY
JACKSON MS
39216
US

IV. Provider business mailing address

2500 NORTH STATE STREET ORTHOPAEDIC SURGERY
JACKSON MS
39216
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-5488
  • Fax: 601-984-5151
Mailing address:
  • Phone: 601-984-5488
  • Fax: 601-984-5151

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number14819
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code2086S0105X
TaxonomySurgery of the Hand (Surgery) Physician
License Number14819
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: