Organization
MISSISSIPPI PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERIK K KING MD (LLP MANAGING PARTNER)
(866) 916-5259
Entity
Organization
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1000
(662) 293-7667
Mailing address
75 REMIT DR # 1103, CHICAGO, IL 60675-1103
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02028227
—
MS
05
—
1526519
—
TN
Enumeration date
12/07/2011
Last updated
03/07/2012
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