Individual
DR. JULIUS KEITH SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 RAWLS DR STE 600, MCCOMB, MS 39648-2862
(601) 249-4415
(601) 249-4474
Mailing address
209 MIDDLE ST, TYLERTOWN, MS 39667-2037
(601) 341-4025
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11133
MS
207Q00000X
Family Medicine Physician
Primary
11133
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114413
—
MS
Enumeration date
07/06/2006
Last updated
02/19/2024
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