Search › Mississippi › 208600000X
Jason Defatta, D.O
NPI 1518382472 · on the registry since 2014
Practice
- Address
- 1800 12th St
Meridian, MS 39301 - Phone
- (601) 484-6700
- Organisation at this address
- Eric W Bridges Md Pllc
Proxsys Rx - Rush, Llc
Rush Medical Foundation
Seale Women'S Care, Llc
Rush Medical FoundationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 77
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 390200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-04
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