Organization
SE MISSISSIPPI EMERGENCY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROSS RONAN (EXECUTIVE VICE PRESIDENT)
(469) 401-2386
Entity
Organization
Contact information
Practice address
270 WEST MAIN STREET, CENTREVILLE, MS 39631
(601) 645-5221
Mailing address
13737 NOEL RD, STE 1600, DALLAS, TX 75240-1331
(469) 401-2386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
12/24/2013
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