SearchMississippi363L00000X

Glenn Pederson

NPI 1811171408 · on the registry since 2007

Practice

Address
1850 Chadwick Dr
Jackson, MS 39204
Phone
(601) 376-2944
Organisation at this address
Jackson Hma Llc
Jackson Hma Llc
Jackson Hma Llc
Jackson Hma Inc
Jackson Hma Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
207P00000X
Licence states on file
MS, FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-07-09

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