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East Mississippi Community College
General Practice Physician in Scooba, Mississippi
NPI 1043780836

East Mississippi Community College is a General Practice Physician based in Dallas, MS. East Mississippi Community College practices in Scooba, MS. The NPI Number for East Mississippi Community College is 1043780836 and holds a License No. (Mississippi).

The current practice location address for East Mississippi Community College is 1512 Kemper St, Scooba, MS and can be reached out via phone at 972-367-4845.

Location: 1512 Kemper St, Scooba, MS, 75244-3995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043780836
Provider Name
East Mississippi Community College
Credential
Provider Entity Type
Organization
Address
1512 Kemper St, Scooba, MS, 75244-3995
Phone Number
972-367-4845
Fax Number
Provider Enumeration Date
12/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1512 Kemper St
City
Scooba
State
Mississippi
Zip
39358-7601
Phone Number
972-367-4845
Fax Number
person
Provider Business Mailing Address Details
Address
1512 Kemper St
City
Scooba
State
Mississippi
Zip
39358-7601
Phone Number
972-367-4845
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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