Mary S Missak is a Internal Medicine Physician based in Southaven, MS. Mary S Missak practices in Southaven, MS and has the professional credentials of MD. The NPI Number for Mary S Missak is 1962507061 and holds a License No. 16715 (Mississippi).
The current practice location address for Mary S Missak is 7680 Airways Blvd, Southaven, MS and can be reached out via phone at 662-349-1999 and via fax at 662-349-9734.
Identifier | Type | State | Issuer |
---|---|---|---|
3152270 | 01 | TN | BLUE CROSS |
00122932 | 01 | MAILHANDLERS | |
640922089001 | 01 | TN | CHAMPUS |
00122932 | 05 | MS | |
3149420 | 01 | TN | TN BLUE CROSS FOR MS |
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