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Physicians Internal Medicine Pulmonary Disease

Provider NPI: 1821268467

Organization Information:
Organization is not Subpart
Authorized Official:  KELLI  AVERY  OFFICE MANAGER  662-327-3195

Practice Location:
Tel: 662-327-3195  Fax: 662-243-1070

Business Mailing Address:
PO BOX 8401  COLUMBUS, MS 39705-0010 US
Tel: 662-327-3195  Fax: 662-243-1070

NPI Information:
NPI: 1821268467
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Internal Medicine
Pulmonary Disease

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207RP1001X





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