Individual
MRS. CIRILA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1222 S MAIN STREET, POPLARVILLE FAMILY MEDICAL CLINIC, POPLARVILLE, MS 39470
(601) 795-9320
(601) 795-9876
Mailing address
1222 S MAIN STREET, POPLARVILLE FAMILY MEDICAL CLINIC, POPLARVILLE, MS 39470
(601) 795-9320
(601) 795-9876
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09382
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019965
—
MS
Enumeration date
04/16/2009
Last updated
02/11/2010
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