OrganizationActive
Mississippi Urology Clinic, PLLC
NPI 1902837313 · Urology Physician · Jackson, MS
Provider details
- NPI number
- 1902837313
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Poole, Chief Administrative Officer(601) 985-3169
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
501 Marhsall St
Suite 301
Jackson, MS 39202
Phone: (601) 353-9900
Fax: (601) 985-3199
Approximate (ZIP-level) locationGet directions
Mailing address
501 Marhsall St
Jackson, MS 39202
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2018-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.