OrganizationJackson Healthcare For Women PaObstetrics & GynecologyAllopathic & Osteopathic PhysiciansPractice Address291 E Layfair Dr, Flowood, MS 39232-9527(601) 936-9190PECOS EnrollmentBased on the most recent information from CMS, provider Jackson Healthcare For Women Pa does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1922143650Provider TypeOrganizationFull NameJackson Healthcare For Women PaSubpartNoEnumeration Date2/20/2007Last Updated7/2/2014Contact InformationPractice LocationPractice Address291 E Layfair Dr, Flowood, MS 39232-9527Phone(601) 936-9190Fax(601) 936-6181Mailing LocationMailing Address291 E Layfair Dr, Flowood, MS 39232-9527Phone(601) 936-9190Fax(601) 936-6181Authorized OfficialNameKellum, Roy B (President)Phone(601) 936-9190Provider TaxonomiesCodeDescriptionLicenseCode207V00000XPrimaryDescriptionObstetrics & GynecologyAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer