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Organization

NORTH MADISON PHYSICIAN BILLING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENISE BAKER CFO (CFO)
(601) 366-9220
Entity
Organization

Contact information

Practice address
1421 E PEACE ST, CANTON, MS 39046-4938
(601) 366-9220
Mailing address
PO BOX 606, CANTON, MS 39046-0606
(601) 366-9220

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
16243
MS

Other

Enumeration date
11/16/2006
Last updated
03/10/2008
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