Individual
DELORA A DENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 MEDICAL PLAZA BLVD STE B, PICAYUNE, MS 39466-9197
(601) 798-5281
(601) 799-5778
Mailing address
12 MEDICAL PLAZA BLVD STE B, PICAYUNE, MS 39466-9197
(601) 798-5281
(601) 799-5778
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13824
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114295
—
MS
Enumeration date
08/10/2005
Last updated
09/30/2021
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