Individual
ELIZABETH N ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12153
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114159
—
MS
05
—
1908681
—
LA
01
—
4231266
AETNA
MS
Enumeration date
06/22/2006
Last updated
08/22/2008
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