Organization
EMERGENCY ROOM MD LLC
Active
Other names
ER SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A HENRY MD (OWNER)
(662) 418-1999
Entity
Organization
Contact information
Practice address
562 E MAIN ST, LOUISVILLE, MS 39339-2742
(662) 779-5150
(662) 779-5154
Mailing address
46 HOLTSINGER AVE, APT G, STARKVILLE, MS 39759-3574
(662) 418-1999
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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