Harrison, Jerry Scott

Harrison, Jerry Scott is an individual health care provider with primary practice located at 106 Highland Way Ste 200 , Madison MS 39110-6933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Harrison, Jerry Scott can be contacted via phone (601) 200-4141.

Contact Information

Primary practice address
106 Highland Way Ste 200 Madison MS 39110-6933
Phone: (601) 200-4141
Fax: (601) 200-4150
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 14423 Mississippi

Profile Details

NPI number 1003841073
LBN Legal business name Harrison, Jerry Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003841073 NPPES
Mississippi MEDICAID 00119246
Mississippi Other P01393317

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