Northeast Ms Internal Medicine PC

NPI #1407831928 in Booneville, Mississippi

Provider Information

NPI Number: 1407831928
Entity Type: Organization
Organization Name: Northeast Ms Internal Medicine PC
Primary Specialty: Internal Medicine
Enumeration Date: Dec 7, 2005
Last Updated: Jun 30, 2015

Practice Location

Address: 202 N 1ST ST
Address 2: SUITE A
City: Booneville
State: Mississippi
ZIP Code: 38829-2718
Phone: (662) 340-1138

Authorized Official

Name: MR. LAURENCE L DENNIS, MD
Title: PRESIDENT
Phone: (662) 340-1138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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