Individual
RENEE OKJA DYESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 E METRO DR, SUITE 103, FLOWOOD, MS 39232-4402
(601) 992-3288
(601) 992-3188
Mailing address
196 OLD HIGHWAY 43, BRANDON, MS 39047-8568
(601) 954-5565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20104
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04139568
—
MS
Enumeration date
07/24/2007
Last updated
12/17/2021
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