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Organization
SOUTHWEST MS NEPHROLOGY, PLLC
Active
Organization
SOUTHWEST MS NEPHROLOGY, PLLC
Active
Other names
Southwest Ms Nephrology, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ERIC MILLER MD (PARTNER)
(601) 405-1593
Entity
Organization
Contact information
Practice address
513C BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-3822
(601) 835-4330
Mailing address
513C BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-3822
(601) 835-4330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08059229
—
MS
Enumeration date
01/09/2007
Last updated
10/18/2023
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