Derek Letort M.D.
Neurology Physician in Jackson, MS(View on Map)
Full Name
Derek Letort M.D.
NPI Number
1023202272
NPI Type
Individual Provider
Gender
Male
Enumeration Date
08/30/2007
Specialties
(Taxonomies)Licenses
State
Mississippi
License Number
20226
Contact
Information
Purpose
Mailing
Location
Address
965 RIDGE LAKE BLVD STE 103
1200 N STATE ST STE 420
City
Memphis
Jackson
State
TN
MS
Postal Code
38120-9446
39202-2027
Country
US
US
Telephone Number
N/A
(601) 355-3353
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2020