Organization
NANCY DORMAN MD,PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE YOUNKINS (CPC)
(601) 944-1717
Entity
Organization
Contact information
Practice address
1040 RIVER OAKS DR, FLOWOOD, MS 39232-9530
(601) 933-5660
Mailing address
PO BOX 863, JACKSON, MS 39205-0863
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
12674
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018785
—
MS
Enumeration date
07/16/2008
Last updated
07/17/2008
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