Individual
DR. SIDNEY EUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-8874
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
MS14841
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119409
—
MS
05
—
009926465
—
AL
01
—
220023157
MEDICARE RAILROAD
—
01
—
646000515
TRICARE
—
Enumeration date
01/18/2007
Last updated
08/22/2013
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