Organization
SOUTHWEST MS NEPHROLOGY, PLLC
Active
Other names
Southwest Ms Nephrology, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ERIC MILLER MD (PARTNER)
(601) 405-1593
Entity
Organization
Contact information
Practice address
513C BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-3822
(601) 835-4330
Mailing address
513C BROOKMAN DR, BROOKHAVEN, MS 39601-2326
(601) 833-3822
(601) 835-4330
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08059229
—
MS
Enumeration date
01/09/2007
Last updated
10/18/2023
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