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Search › Mississippi › 101YP2500X

John Southern, EDD

NPI 1396084786 · on the registry since 2013 · sole proprietor

Practice

Address
106 Sugaloch Cv
Jackson, MS 39211
Phone
(618) 762-0303

Additional practice sites

  • 2906 N State St, Jackson, MS
  • 815b Ocean View Blvd, Pacific Grove, CA

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
103T00000X
106H00000X
101YP2500X
103T00000X
103T00000X
103T00000X
Licence states on file
IL, MS, TX, PA, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi