Organization
KERMIT D LAIRD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN CARR (OFFICE MANAGER)
(662) 323-2515
Entity
Organization
Contact information
Practice address
103 DOCTORS PARK, STARKVILLE, MS 39759
(662) 323-2515
Mailing address
103 DOCTORS PARK, STARKVILLE, MS 39759
(662) 323-2515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00006
C00006
MS
Enumeration date
11/21/2006
Last updated
09/11/2007
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