| Ruth K. Fredericks, M.d. | |
|
971 Lakeland Dr Suite 557, West Tower Jackson MS 39216-4643 | |
| (601) 326-4602 | |
| (601) 326-4632 |
| Full Name | Ruth K. Fredericks, M.d. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 971 Lakeland Dr, Jackson, Mississippi |
| Authorized Official Name and Position | Ruth Kellum Fredericks (OWNER) |
| Authorized Official Contact | 6019390361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruth K. Fredericks, M.d. Po Box 22670 Jackson MS 39225-2670 Ph: (601) 939-0361 | Ruth K. Fredericks, M.d. 971 Lakeland Dr Suite 557, West Tower Jackson MS 39216-4643 Ph: (601) 326-4602 |
| NPI Number | 1427007400 |
|---|---|
| Provider Enumeration Date | 05/08/2006 |
| Last Update Date | 03/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427007400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 11722 (Mississippi) | Primary |
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