Organization
MISSISSIPPI EM-I MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J BYRNE (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
14365 HIGHWAY 16 W, DE KALB, MS 39328-7974
(954) 838-2371
Mailing address
PO BOX 80180, PHILADELPHIA, PA 19101-1180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/10/2019
Last updated
08/21/2019
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