Individual
DR. MESERET TEFERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 W GOVERNMENT ST, BRANDON, MS 39042-2408
(601) 825-7280
(601) 825-8130
Mailing address
PO BOX 24116, JACKSON, MS 39225-4116
(601) 362-5321
(601) 364-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19108
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02378381
—
MS
Enumeration date
06/06/2006
Last updated
10/14/2016
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