Organization
MISS-LOU EMERGENCY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY BYRNE (PRESIDENT)
(214) 712-2000
Entity
Organization
Contact information
Practice address
129 JEFFERSON DAVIS BLVD, NATCHEZ, MS 39120-5103
(601) 445-6700
(601) 445-6233
Mailing address
PO BOX 13316, PHILADELPHIA, PA 19101-3316
(800) 507-8874
(727) 507-3630
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01224710
—
MS
05
—
1449563
—
LA
Enumeration date
05/08/2006
Last updated
04/20/2008
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