Individual
EDNORD PIERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-2539
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33940
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2021
Last updated
08/26/2024
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