OrganizationCenter Of Infectious Disease ExcellenceInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address1040 River Oaks Dr, Suite 303, Jackson, MS 39232-9530(601) 936-0706PECOS EnrollmentBased on the most recent information from CMS, provider Center Of Infectious Disease Excellence 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 4 days ago.Profile DetailsProvider ID1235329020Provider TypeOrganizationFull NameCenter Of Infectious Disease ExcellenceSubpartYesEnumeration Date7/27/2007Last Updated7/27/2007Contact InformationPractice LocationPractice Address1040 River Oaks Dr, Suite 303, Jackson, MS 39232-9530Phone(601) 936-0706Fax(601) 936-6150Mailing LocationMailing Address1040 River Oaks Dr, Suite 303, Jackson, MS 39232-9530Phone(601) 936-0706Fax(601) 936-6150Authorized OfficialNameSinclair, Brad (Regional Manager)Phone(601) 936-3102Provider TaxonomiesCodeDescriptionLicenseCode207RI0200XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer