Individual
DR. JAMES MICHAEL NANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 N HILLS ST, MERIDIAN, MS 39305-2643
(601) 693-9906
(601) 484-6704
Mailing address
PO BOX 5183, MERIDIAN, MS 39302-5183
(601) 703-9506
(601) 703-3264
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11576
MS
207Q00000X
Family Medicine Physician
Primary
11576
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113089
—
MS
01
—
730-09441
BLUE CROSS OF AL
—
Enumeration date
11/17/2005
Last updated
06/20/2008
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