Individual
JUNE MBAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9285
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
31138
MS
207RP1001X
Pulmonary Disease Physician
Primary
31138
MS
Other
Enumeration date
04/05/2017
Last updated
07/28/2023
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