Individual provider · Type 1 NPI
Dedri Markita Ivory, MD
Rheumatology Physician · Vicksburg, MS
NPI number
1851585004
Active
Practice location
3510 Pemberton Square Blvd
Vicksburg, MS 39180-5506
Fax (601) 501-6987
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rheumatology Physician Primary | 207RR0500X | 21520 (MS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2009009253 (MO) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 57.011968 (OH) |
Rheumatology Physician: An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
Another provider at this address
About NPI 1851585004
Dedri Markita Ivory, MD's National Provider Identifier is 1851585004, issued on Aug 30, 2007. The primary taxonomy on file is Rheumatology Physician (207RR0500X), and the practice location is in Vicksburg, MS. The record was last updated on Jan 13, 2017.