# DELORA A. DENNEY, M.D.

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

## Provider details

- **NPI number:** 1992008429
- **Authorized official:** DR. DELORA ANN DENNEY MD (PARTNER, CO-OWNER)
- **Authorized official phone:** (601) 798-5281

## Contact information

- **Practice address:** 12 MEDICAL PLAZA BLVD, SUITE B, PICAYUNE, MS 39466-9197
- **Practice address phone:** (601) 798-5281
- **Practice address fax:** (601) 799-5778
- **Mailing address:** 12 MEDICAL PLAZA BLVD, SUITE B, PICAYUNE, MS 39466-9197
- **Mailing address phone:** (601) 798-5281
- **Mailing address fax:** (601) 799-5778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13824 | MS | Yes |

## Other

- **Enumeration date:** 12/05/2010
- **Last updated:** 05/03/2017
