Diana L Entrekin MD

NPI 1073536785 - Family Medicine - 207Q00000X

NPI Details
NPI 1073536785
Gender Female
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1777 ELLIS AVE
JACKSON MS, 39204-3616, US
Phone (601) 371-0400
Fax (601) 371-1533
Business Location
1777 ELLIS AVE
JACKSON MS, 39204-3616, US
Phone (601) 371-0400
Fax (601) 371-1533
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 12835
Remove 1073536785 NPI Number
 

According to our database, Diana L Entrekin MD NPI is 1073536785, taxonomy code is 207Q00000X and license number is 12835, license state is located at Mississippi. Diana L Entrekin MD physically located at 1777 Ellis Ave, Jackson MS, 39204-3616. NPI Number Diana L Entrekin MD has the Individual type.

Sponsored links

1073536785 NPI number is provided on an as is basis without warranty of any kind. 1073536785 is maintained by the National Plan & Provider Enumeration System. The contents of Diana L Entrekin MD are for informational purposes only.