Individual
JOHN M ABIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1209 S MAIN ST, GREENVILLE, MS 38701-6342
(662) 335-3847
Mailing address
481 CYPRESS LN, APT. A103, GREENVILLE, MS 38701-7473
(662) 332-3391
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
06972
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013892
—
MS
Enumeration date
07/15/2005
Last updated
07/09/2007
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