Qing Yuan MD

NPI 1225047053 - Internal Medicine - 207R00000X

NPI Details
NPI 1225047053
Gender Male
Enumeration Date 08/08/2006
Last Updated 03/14/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
7601 SOUTHCREST PKWY
SOUTHAVEN MS, 38671-4739, US
Phone (662) 772-2980
Fax (662) 772-2960
Business Location
965 RIDGE LAKE BLVD., SUITE 103
MEMPHIS TN, 38120-9401, US
Phone (901) 227-4068
Fax (901) 227-8591
Toxanomy
Taxonomy Code 207R00000X
License State Mississippi
License Number 21696
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According to our database, Qing Yuan MD NPI is 1225047053, taxonomy code is 207R00000X and license number is 21696, license state is located at Mississippi. Qing Yuan MD physically located at 7601 Southcrest Pkwy, Southaven MS, 38671-4739. NPI Number Qing Yuan MD has the Individual type.

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1225047053 NPI number is provided on an as is basis without warranty of any kind. 1225047053 is maintained by the National Plan & Provider Enumeration System. The contents of Qing Yuan MD are for informational purposes only.