Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 20726 | MS |
NPI | 1508046236 |
---|---|
Provider Name | Dr. Jamey W. Burrow |
First Address | Jackson, MS 39202-2442 |
Second Address | Jackson, MS 39202-2442 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2007 |
Last Update Date | 17/11/2011 |