Individual
DR. FERAS JERADEH-BOURSOULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
23086
MS
Other
Enumeration date
04/19/2010
Last updated
09/28/2016
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