Male or Other

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)

Code

2084N0400X

Primary Taxonomy

Yes

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

Provider Address

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