Healthcare Provider Details

I. General information

NPI: 1790714806
Provider Name (Legal Business Name): FREDERICK H ASHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 08/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NORTH STATE STREET DEPARTMENT OF MEDICINE DIVISION OF GENERAL INTERNAL MED
JACKSON MS
39216-4500
US

IV. Provider business mailing address

2500 NORTH STATE STREET HOSPITALIST
JACKSON MS
39216-4500
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-5660
  • Fax: 601-984-6870
Mailing address:
  • Phone: 601-984-5660
  • Fax: 601-984-6870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20091
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: