NPI 1407831928

Northeast Ms Internal Medicine PC

Organisation Internal Medicine Physician Booneville, MS

Practice location

Address: 202 N 1st St Suite a, Booneville, MS 38829-2718
Phone: (662) 340-1138
Fax: (662) 728-5185

Authorised official

Name: Laurence L Dennis
Title: President
Phone: (662) 340-1138

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Mississippi →

Registry record

NPI: 1407831928
Entity type: Organization
NPI issued: 7 Dec 2005
Record last updated: 30 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.