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Organization
UNIVERSITY PHYSICIANS. PLLC
Active
Organization
UNIVERSITY PHYSICIANS. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELISABETH COOK PARKER (SRNA)
(601) 750-5574
Entity
Organization
Contact information
Practice address
121 BEAUFORT CIR, MADISON, MS 39110-7962
(601) 750-5574
Mailing address
121 BEAUFORT CIR, MADISON, MS 39110-7962
(601) 750-5574
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
RN0000158639
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01003769
RR MEDICARE
MS
Enumeration date
07/23/2010
Last updated
03/28/2012
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