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General NPI Number Information
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NPI Number | 1386388064
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Entity Type | Individual
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Provider Name | JAMIE GOODWIN RAWLS MD
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Gender | Female
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1238 HIGHWAY 42
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City | SUMRALL
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State | MS
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Zip | 39482-9519
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Country | US
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Telephone | 601-758-3100
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Fax | 601-758-3060
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Provider Business Mailing Address
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Address Line | 415 S 28TH AVE
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City | HATTIESBURG
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State | MS
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Zip | 39401-7246
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Country | US
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Telephone | 601-264-6000
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Fax | 601-758-3060
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34857
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License Number State | MS
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