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Individual

DARELL E. SHOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-4362
(601) 703-6786
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-4282
(601) 703-4597

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA015
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009914345
AL
01
970030629
RAILROAD MEDICARE
Enumeration date
11/18/2005
Last updated
11/08/2013
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