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Individual

DR. DAVID BRICE WHEAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
309 A MORRISON DR, CLINTON, MS 39056
(601) 924-1877
(601) 924-1871
Mailing address
309 A MORRISON DR, CLINTON, MS 39056
(601) 924-1877
(601) 924-1871

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09202
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0114637
MS
01
201941681
BLUE CROSS BLUE SHIELD
MS
01
P00250596 GRP DD7799
RAILROAD MEDICARE
MS
Enumeration date
06/14/2006
Last updated
12/29/2009
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