Individual
DR. AGNES EMERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2 W LAKEVIEW DR, SUITE 2, COLUMBIA, MS 39429-7960
(601) 444-4798
(601) 444-5127
Mailing address
2 W LAKEVIEW DR, SUITE 2, COLUMBIA, MS 39429-7960
(601) 444-4798
(601) 444-5127
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
17887
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126889
—
MS
Enumeration date
12/20/2006
Last updated
07/09/2007
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