Organization
NORTHEAST MS INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAURENCE L DENNIS MD (PRESIDENT)
(662) 340-1138
Entity
Organization
Contact information
Practice address
202 N 1ST ST, SUITE A, BOONEVILLE, MS 38829-2718
(662) 340-1138
(662) 728-5185
Mailing address
202 N 1ST ST, SUITE A, BOONEVILLE, MS 38829-2718
(662) 340-1138
(662) 728-5185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08228702
—
MS
Enumeration date
12/07/2005
Last updated
06/30/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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