Individual
MICHAEL WILLIAM KOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N. STATE ST, JACKSON, MS 39216-6707
(601) 984-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-2214
MS
Other
Enumeration date
07/09/2009
Last updated
06/30/2010
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