Organization

Ruth K. Fredericks, M.D.

Neurology Physician in Jackson, MS(View on Map)

Legal Business Name

Ruth K. Fredericks, M.D.

NPI Number

1427007400

NPI Type

Organization

Enumeration Date

05/08/2006

Specialties

(Taxonomies)

Code

2084N0400X

Primary Taxonomy

Yes

Licenses

State

Mississippi

License Number

11722

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 22670
971 LAKELAND DR

City

Jackson
Jackson

State

MS
MS

Postal Code

39225-2670
39216-4643

Country

US
US

Telephone Number

(601) 939-0361
(601) 326-4602

Authorized Official

Name

Dr. Ruth Fredericks

Title or Position

OWNER

Telephone Number

(601) 939-0361

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/15/2013

Provider Address

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