Organization
TERESA E. KLAINER,M.D.,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA ELENA KLAINER M.D. (CHIEF OFFICER)
(601) 799-3011
Entity
Organization
Contact information
Practice address
1018 SIXTH AVE, SUITE B, PICAYUNE, MS 39466-3837
(601) 799-3011
(601) 799-4586
Mailing address
1018 SIXTH AVE, SUITE B, PICAYUNE, MS 39466-3837
(601) 799-3011
(601) 799-4586
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20311
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540668
—
LA
Enumeration date
09/17/2008
Last updated
10/22/2008
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