Individual
FRED GILBERT EMRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
307 HIGHLAND BLVD, NATCHEZ, MS 39120-4610
(601) 442-5042
(601) 442-5052
Mailing address
307 HIGHLAND BLVD, NATCHEZ, MS 39120-4610
(601) 442-5042
(601) 442-5052
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
05908R
LA
2085R0202X
Diagnostic Radiology Physician
Primary
07661
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015185
—
MS
05
—
1535206
—
LA
Enumeration date
08/24/2005
Last updated
05/20/2015
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