Derreck Menefee in Tupelo - Internal Medicine

Derreck Menefee - NPI 1275502403

Derreck Menefee is a Internal Medicine in Tupelo, Mississippi. Derreck Menefee practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Derreck Menefee is 1275502403. The last update date is 2008-09-17.

Derreck Menefee's current location address is 845 S Madison St, Tupelo, Mississippi. You can contact this provider via phone number 6623775930 and fax number 6623775085. The mailing address for Derreck Menefee is 845 S Madison St, Tupelo, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Derreck Menefee
Address 845 S Madison St, Tupelo, Mississippi
Phone Number 6623775930
Fax Number 6623775085
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1275502403
Provider Enumeration Date 2006-03-17
Last Updated Date 2008-09-17

Provider Mailing Address Detail

Address 845 S Madison St
City Tupelo
State Mississippi (MS)
Post Code 388014905
Phone Number 6623775930
Fax Number 6623775085

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 18222
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1537372 MS --

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FAQs about Derreck Menefee

What is the unique identifier code issued to Derreck Menefee by the Centers for Medicare & Medicaid Services?

The Derreck Menefee has been assigned the NPI (National Provider Identifier) 1275502403. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Derreck Menefee's physical address?

The Derreck Menefee is physically located at 845 S Madison St, in the city of Tupelo, MS, with the postal code 388014905.

What is the Derreck Menefee's specialty and taxonomy code?

The Derreck Menefee's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Derreck Menefee receive its 1275502403 assignment from the Centers for Medicare & Medicaid Services?

The Derreck Menefee was assigned its 1275502403 by the Centers for Medicare & Medicaid Services on 2006-03-17.

As of what date were the details pertaining to Derreck Menefee last refreshed?

The information related to the Derreck Menefee, including its address, specialty, and other relevant details, was last updated on 2008-09-17.

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