Provider Demographics
NPI:1134243702
Name:DEW, JAMES M (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:M
Last Name:DEW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5606 OLD CANTON RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39211-4217
Mailing Address - Country:US
Mailing Address - Phone:601-957-3333
Mailing Address - Fax:601-957-3335
Practice Address - Street 1:5606 OLD CANTON RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39211-4217
Practice Address - Country:US
Practice Address - Phone:601-957-3333
Practice Address - Fax:601-957-3335
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS19394207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine