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Organization
DRS LENOIR AND CIRILLI PA
Active
Organization
DRS LENOIR AND CIRILLI PA
Active
Other names
Professional Association Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOSEPH CIRILLI (SEC TRES DRS LENOIR AND CIRILLI PA)
(662) 335-3541
Entity
Organization
Contact information
Practice address
1307 EAST UNION, GREENVILLE, MS 38703
(662) 335-3541
Mailing address
PO BOX 5967, 1307 EAST UNION, GREENVILLE, MS 38704-5967
(662) 335-3541
(662) 332-0331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10254
MS
207R00000X
Internal Medicine Physician
10254
MS
207R00000X
Internal Medicine Physician
Primary
3813
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9011164
—
MS
Enumeration date
05/03/2007
Last updated
07/15/2008
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