Individual
DR. ERIC LEE REIMUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 334-2104
(662) 334-2110
Mailing address
PO BOX 820662, VICKSBURG, MS 39182-0662
(662) 334-1868
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
14678
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115838
—
MS
01
—
14678
MS LICENSE
MS
Enumeration date
09/06/2006
Last updated
01/30/2009
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