| James R Woodson Iii Dmd | |
|
11 Northtown Dr Suite 105 Jackson MS 39211-3699 | |
| (601) 988-6200 | |
| (601) 988-6203 |
| Full Name | James R Woodson Iii Dmd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11 Northtown Dr, Jackson, Mississippi |
| Authorized Official Name and Position | James Randall Woodson (OWNER) |
| Authorized Official Contact | 6019886200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Woodson Iii Dmd 11 Northtown Dr Suite 105 Jackson MS 39211-3699 Ph: (601) 988-6200 | James R Woodson Iii Dmd 11 Northtown Dr Suite 105 Jackson MS 39211-3699 Ph: (601) 988-6200 |
| NPI Number | 1417407404 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 10/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417407404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3200-01 (Mississippi) | Primary |
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