Individual
DR. KELLY S SEGARS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1507 W QUITMAN ST, IUKA, MS 38852-1132
(662) 423-1000
(662) 423-1316
Mailing address
1507 W QUITMAN ST, IUKA, MS 38852-1132
(662) 423-1000
(662) 423-1316
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10016
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013060
—
MS
Enumeration date
06/16/2005
Last updated
12/10/2007
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