Individual
TERI S DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 200-4644
(601) 200-5929
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12619
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010334
—
MS
01
—
P01163366
RAILROAD MEDICARE
MS
Enumeration date
11/14/2006
Last updated
09/26/2025
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