# NANCY DORMAN MD,PHD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295999472
- **Authorized official:** NICOLE YOUNKINS (CPC)
- **Authorized official phone:** (601) 944-1717

## Contact information

- **Practice address:** 1040 RIVER OAKS DR, FLOWOOD, MS 39232-9530
- **Practice address phone:** (601) 933-5660
- **Mailing address:** PO BOX 863, JACKSON, MS 39205-0863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 12674 | MS | Yes |

## Other

- **Enumeration date:** 07/16/2008
- **Last updated:** 07/17/2008
