Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tatum Medical Clinic

Organization Internal Medicine Physician · NPI 1912138967

Tatum Medical Clinic is an Internal Medicine Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009

Practice location Address checks out

5903 Ridgewood Rd Ste 330
Jackson, MS 39211-3702
Phone: (601) 421-3454
Fax: (601) 899-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 16155 (MS)

Record details

NPI number1912138967
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Tatum — Manager · (601) 421-3454
NPI enumeratedAugust 6, 2009
Last updated in NPPESAugust 6, 2009
Mailing address5903 Ridgewood Rd Ste 330, Jackson, MS 39211-3702

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