Emergency Room MD LLC

NPI #1568739928 in Louisville, Mississippi

Provider Information

NPI Number: 1568739928
Entity Type: Organization
Organization Name: Emergency Room MD LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 29, 2011
Last Updated: Nov 29, 2011

Practice Location

Address: 562 E MAIN ST
City: Louisville
State: Mississippi
ZIP Code: 39339-2742
Phone: (662) 779-5150

Authorized Official

Name: DR. MICHAEL A HENRY, MD
Title: OWNER
Phone: (662) 418-1999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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