location
search-icon
person
Ms. Dedri Markita Ivory, MD
Student in an Organized Health Care Education/Training Program in Vicksburg, Mississippi
NPI 1851585004

Dedri Markita Ivory is a Student in an Organized Health Care Education/Training Program based in Vicksburg, MS. Dedri Markita Ivory practices in Vicksburg, MS and has the professional credentials of MD. The NPI Number for Dedri Markita Ivory is 1851585004 and holds a License No. 21520 (Mississippi).

The current practice location address for Dedri Markita Ivory is 3510 Pemberton Square Blvd, Vicksburg, MS and can be reached out via phone at 601-501-6991 and via fax at 601-501-6987. You can also correspond with Dedri Markita Ivory through the mailing address at 3510 PEMBERTON SQUARE BLVD, VICKSBURG, MS - 39180-5506 (mailing address contact number: 601-501-6991).

Location: 3510 Pemberton Square Blvd, Vicksburg, MS, 39180-5506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851585004
Provider Name
Dedri Markita Ivory
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3510 Pemberton Square Blvd, Vicksburg, MS, 39180-5506
Phone Number
601-501-6991
Fax Number
601-501-6987
Provider Enumeration Date
08/30/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3510 Pemberton Square Blvd
City
Vicksburg
State
Mississippi
Zip
39180-5506
Phone Number
601-501-6991
Fax Number
601-501-6987
person
Provider Business Mailing Address Details
Address
3510 Pemberton Square Blvd
City
Vicksburg
State
Mississippi
Zip
39180-5506
Phone Number
601-501-6991
Fax Number
601-501-6987
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Rheumatology
Taxonomy
207RR0500X
License No.
2009009253 (Missouri)
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
21520 (Mississippi)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.