IndividualActive
Allen Haraway, M.D.
NPI 1679769491 · Urology Physician · Jackson, MS
Provider details
- NPI number
- 1679769491
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301095875 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1421 N State St
Suite 400
Jackson, MS 39202-1658
Phone: (601) 353-9900
Approximate (ZIP-level) locationGet directions
Mailing address
1421 N State St
Jackson, MS 39202-1658
Registry dates
- Enumerated
- 2007-09-16
- Last updated
- 2014-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.