DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED WALLACE RUSHTON JR., MD

Active Sole Proprietor

Vascular Surgery · JACKSON, MS

Registration Details

NPI Number
1194825323
Provider Type
Individual
Gender
Male
NPI Issued
Sep 25, 2006 (19.613689073453 yrs)
Last Updated
Apr 22, 2014
License
06237 (MS)
Sole Proprietor
Yes

Practice Information

Address
2500 N STATE ST
JACKSON, MS, 392164500
Browse MS providers · Browse ZIP 39216
Phone
6019256805
Fax
6019264978
Primary Specialty
Vascular Surgery
2086S0129X

Other Vascular Surgery Providers in JACKSON, MS

Name Credential NPI
MR. ANTHONY BRADLEY BOLAND M.D. 1437135373
DR. SESHADRI RAJU M.D. 1215960414
MARC E MITCHELL MD 1528158433
DR. ZACHARY KRIETE BALDWIN M.D. 1487778239
ARJUN JAYARAJ MD 1316145352
DR. MIGUEL ANGEL VILLALOBOS JR. M.D. 1598071987
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.