Underwood, James A

Underwood, James A is an individual health care provider with primary practice located at 2510 Lakeland Dr , Flowood MS 39232-9513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Underwood, James A can be contacted via phone (601) 355-1234.

Contact Information

Primary practice address
2510 Lakeland Dr Flowood MS 39232-9513
Fax: (601) 326-3559
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 15562 Mississippi

Profile Details

NPI number 1447240494
LBN Legal business name Underwood, James A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Sep 21st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447240494 NPPES
Mississippi MEDICAID 00123762

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