Organization
ERIC REIMUND MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC REIMUND MD (OWNER PRESIDENT)
(662) 334-9829
Entity
Organization
Contact information
Practice address
1400 E UNION ST, GREENVILLE, MS 38703-3246
(662) 378-3783
Mailing address
PO BOX 922, GREENVILLE, MS 38702-0922
(662) 334-9829
(662) 334-3529
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
14678
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115838
—
MS
05
—
04879387
—
MS
01
—
230928756A
BLUE CROSS OF MISSISSIPPI
MS
01
—
DG7903
RAILROAD MEDICARE GROUP
MS
01
—
P00454885
RAILROAD MEDICARE
MS
Enumeration date
09/12/2007
Last updated
06/04/2008
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