Individual
HEDDY DALE MATTHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 ROSES BLUFF PKWY, MADISON, MS 39110-9230
(601) 856-7074
(601) 856-1744
Mailing address
1 ROSES BLUFF PKWY, MADISON, MS 39110-9230
(601) 856-7074
(601) 856-1744
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
11130
MS
Other
Enumeration date
10/11/2006
Last updated
08/08/2013
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