Southwest Mississippi Emergency Physicians, Ltd in Liberty - Specialist

Southwest Mississippi Emergency Physicians, Ltd - NPI 1104004910

Southwest Mississippi Emergency Physicians, Ltd is a Specialist in Liberty, Mississippi. Southwest Mississippi Emergency Physicians, Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southwest Mississippi Emergency Physicians, Ltd is 1104004910. The last update date is 2008-04-30.

Southwest Mississippi Emergency Physicians, Ltd's current location address is 3549 Lower Centreville Rd, Liberty, Mississippi. You can contact this provider via phone number 6016574562 and fax number 6016574685. The mailing address for Southwest Mississippi Emergency Physicians, Ltd is 3549 Lower Centreville Rd, Liberty, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southwest Mississippi Emergency Physicians, Ltd
Address 3549 Lower Centreville Rd, Liberty, Mississippi
Phone Number 6016574562
Fax Number 6016574685
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Lewis L Henry
Credentials MD
Telephone Number 6016574562

NPI Number Detail

NPI Number 1104004910
Provider Enumeration Date 2008-02-04
Last Updated Date 2008-04-30

Provider Mailing Address Detail

Address 3549 Lower Centreville Rd
City Liberty
State Mississippi (MS)
Post Code 396458294
Phone Number 6016574562
Fax Number 6016574685

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4834
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
116617 MS --

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FAQs about Southwest Mississippi Emergency Physicians, Ltd

What is the unique 10-digit identification code issued to Southwest Mississippi Emergency Physicians, Ltd by the Centers for Medicare & Medicaid Services?

The Southwest Mississippi Emergency Physicians, Ltd has been assigned the NPI (National Provider Identifier) 1104004910 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Southwest Mississippi Emergency Physicians, Ltd is located?

The Southwest Mississippi Emergency Physicians, Ltd is situated at the following address: 3549 Lower Centreville Rd, Liberty, MS, 396458294.

What is Southwest Mississippi Emergency Physicians, Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Southwest Mississippi Emergency Physicians, Ltd's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When did the Southwest Mississippi Emergency Physicians, Ltd receive its 1104004910?

The Southwest Mississippi Emergency Physicians, Ltd was issued its 1104004910 on 2008-02-04, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Southwest Mississippi Emergency Physicians, Ltd most recently updated or revised?

The information pertaining to Southwest Mississippi Emergency Physicians, Ltd, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-30.

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