Organization · Type 2 NPI
East Mississippi Community College
General Practice Physician · Scooba, MS
NPI number
1043780836
Active
Practice location
1512 Kemper St
Scooba, MS 39358-7601
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
About NPI 1043780836
East Mississippi Community College's National Provider Identifier is 1043780836, issued on Dec 5, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Scooba, MS. The record was last updated on Dec 5, 2018.