Northeast Ms Internal Medicine Pc

NPI 1407831928 - Internal Medicine - 207R00000X

NPI Details
NPI 1407831928
Enumeration Date 12/07/2005
Last Updated 06/24/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LAURENCE L LAURENCE
Position PRESIDENT
Phone (662) 720-4000
Fax (662) 728-5185
Practice Location
100 HOSPITAL ST
STE D2
BOONEVILLE MS, 38829-3354, US
Phone (662) 720-4000
Fax (662) 728-5185
Business Location
PO BOX 242
100 HOSPITAL ST, STE D2
BOONEVILLE MS, 38829-0242, US
Phone (662) 720-4000
Fax (662) 728-5185
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
Remove 1407831928 NPI Number
 

According to our database, Northeast Ms Internal Medicine Pc NPI is 1407831928, taxonomy code is 207R00000X Northeast Ms Internal Medicine Pc physically located at 100 Hospital St, Booneville MS, 38829-3354. NPI Number 1033115704 has the healthcare provider type.

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1407831928 NPI number is provided on an as is basis without warranty of any kind. 1407831928 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Ms Internal Medicine Pc are for informational purposes only.