Provider Demographics
NPI:1588661789
Name:JAMES, MAURICE (MD)
Entity Type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:971 LAKELAND DR
Mailing Address - Street 2:STE 563
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4607
Mailing Address - Country:US
Mailing Address - Phone:601-362-4467
Mailing Address - Fax:601-362-0239
Practice Address - Street 1:971 LAKELAND DR
Practice Address - Street 2:STE 563
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4607
Practice Address - Country:US
Practice Address - Phone:601-362-4467
Practice Address - Fax:601-362-0239
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS8996207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00010144Medicaid
MS00010144Medicaid