| Delora A. Denney, M.D. | |
|
12 Medical Plaza Blvd Suite B Picayune MS 39466-9197 | |
| (601) 798-5281 | |
| (601) 799-5778 |
| Full Name | Delora A. Denney, M.D. |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Medical Plaza Blvd, Picayune, Mississippi |
| Authorized Official Name and Position | Delora Ann Denney (PARTNER, CO-OWNER) |
| Authorized Official Contact | 6017985281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delora A. Denney, M.D. 12 Medical Plaza Blvd Suite B Picayune MS 39466-9197 Ph: (601) 798-5281 | Delora A. Denney, M.D. 12 Medical Plaza Blvd Suite B Picayune MS 39466-9197 Ph: (601) 798-5281 |
| NPI Number | 1992008429 |
|---|---|
| Provider Enumeration Date | 12/05/2010 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992008429 | NPI | - | NPPES |
| 00114295 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13824 (Mississippi) | Primary |
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