Organization
WOMENS MEDICAL CENTER OF MERIDIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOSEPH MCKIEVER M.D. (PRESIDENT)
(601) 483-0039
Entity
Organization
Contact information
Practice address
1523 22ND AVE, MERIDIAN, MS 39301
(601) 483-0039
(601) 485-7240
Mailing address
1523 22ND AVE, MERIDIAN, MS 39301
(601) 483-0039
(601) 485-7240
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00111934
—
MS
05
—
00121929
—
MS
Enumeration date
01/26/2007
Last updated
07/16/2008
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