OrganizationActive
Sonny Montgomery V a M Edical Center
NPI 1013014695 · Chronic Disease Hospital · Jackson, MS
Provider details
- NPI number
- 1013014695
- Entity type
- Organization
- Primary specialty
- Chronic Disease HospitalHospitals
- Organization subpart
- No
- Authorized official
- Linda Mack, Certified Nurse Practitioner(601) 362-4471
- License
- R725005 (MS)
Specialties & taxonomies
Hospitals
Practice location
1500 E Woodrow Wilson Ave
Jackson, MS 39216-5116
Phone: (601) 362-4471
Approximate (ZIP-level) locationGet directions
Mailing address
1973 Houston Rd
Bolton, MS 39041-9387
Registry dates
- Enumerated
- 2006-09-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.