Individual
DR. CHADLEY T VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16878
MS
207Q00000X
Family Medicine Physician
Primary
16878
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122454
—
MS
Enumeration date
12/27/2005
Last updated
06/19/2019
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