Individual
DANA WILLIAMS MATTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
427 HWY 51 NORTH, BROOKHAVEN, MS 39601-2600
(601) 833-7831
Mailing address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 833-6011
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
R785369
MS
208M00000X
Hospitalist Physician
Primary
R785369
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122352
—
MS
01
—
R785369
MS LICENSE
MS
Enumeration date
06/16/2006
Last updated
05/13/2015
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