SearchMississippi2255A2300X

Derrick Jones, ATC

NPI 1750867776 · on the registry since 2018

Practice

Address
275 W Broad St
Decatur, MS 39327
Phone
(601) 479-6977
Fax
(601) 635-4099

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-07-12

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