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Individual

JOHN HOUSTON BEARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
Mailing address
PO BOX 23998, JACKSON, MS 39225-3998
(662) 725-2749
(662) 725-2741

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
08305
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06033800
MS
05
1551082
LA
05
155967001
AR
Enumeration date
08/25/2006
Last updated
06/25/2008
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