Individual
ELIZABETH KATHERINE SCHIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
151 E METRO DR STE 102, FLOWOOD, MS 39232-4404
(601) 973-1680
(601) 973-1681
Mailing address
249 EASTBROOKE ST, JACKSON, MS 39216-4716
(601) 672-4263
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
30023
MS
207Y00000X
Otolaryngology Physician
MD188118
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500659886
—
OR
Enumeration date
04/03/2013
Last updated
06/03/2022
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