Derek Letort
Neurologist
1200 N State St Ste 420
Jackson
, Mississippi 39202-2027
Derek Letort
Neurologist
1200 N State St Ste 420
Jackson
, Mississippi 39202-2027
(901) 227-8591
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Derek Letort
- 965 Ridge Lake Blvd Ste 103
- Memphis, TN
- Zip : 38120-9446
- Fax : (901) 227-8591
- Phone :
Second Address
- Derek Letort
- 1200 N State St Ste 420
- Jackson, MS
- Zip : 39202-2027
- Fax : (601) 355-3365
- Phone : (601) 355-3353
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 20226 | MS |
National Provider Identifier
| NPI | 1023202272 |
|---|---|
| Provider Name | Derek Letort |
| First Address | Memphis, TN 38120-9446 |
| Second Address | Jackson, MS 39202-2027 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/08/2007 |
| Last Update Date | 08/07/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.