Organization
EAST MISSISSIPPI MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAZEE AMEIR AHMAD MD (PRESIDENT)
(601) 485-7777
Entity
Organization
Contact information
Practice address
4711 POPLAR SPG DR, MERIDIAN, MS 39305-2622
(601) 485-7777
(601) 485-7766
Mailing address
4711 POPLAR SPRINGS DR, MERIDIAN, MS 39305-2622
(601) 485-7777
(601) 485-7766
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14494
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00925081
—
MS
Enumeration date
05/26/2006
Last updated
04/25/2013
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