Organization
EMYROSE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHUKWUEMEKA EZEUME MD (MEDICAL DIRECTOR)
(662) 321-7899
Entity
Organization
Contact information
Practice address
1705 LAKEFIELD DR, TUPELO, MS 38801-8420
(662) 321-7899
Mailing address
PO BOX 3249, TUPELO, MS 38803-3249
(662) 321-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23325
MS
Other
Enumeration date
09/10/2014
Last updated
12/03/2014
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