Provider Demographics
NPI:1073132742
Name:HEMPHILL, INDIA B (MD)
Entity type:Individual
Prefix:
First Name:INDIA
Middle Name:B
Last Name:HEMPHILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1867 CRANE RIDGE DRIVE
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216
Mailing Address - Country:US
Mailing Address - Phone:601-362-8776
Mailing Address - Fax:601-709-8501
Practice Address - Street 1:120 SCARBROUGH STREET
Practice Address - Street 2:SUITE A
Practice Address - City:RICHLAND
Practice Address - State:MS
Practice Address - Zip Code:39218
Practice Address - Country:US
Practice Address - Phone:601-362-8776
Practice Address - Fax:601-709-8501
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
MS31746208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program