Individual
DR. PLACID M EZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
900 STARK ROAD, STARKVILLE, MS 39759-2539
(662) 323-4400
(662) 323-4409
Mailing address
900 STARK ROAD, STARKVILLE, MS 39759-2539
(662) 323-4400
(662) 323-4409
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16515
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122361
—
MS
05
—
09728046
—
MS
01
—
192773
DIABETES SELF MANAGEMENT TREATMENT CENTER
MS
01
—
640940768
TAX ID COMMERCIAL CARRIER
MS
Enumeration date
09/30/2005
Last updated
02/23/2011
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