| Emergency Room Md Llc | |
|
562 E Main St Louisville MS 39339-2742 | |
| (662) 779-5150 | |
| (662) 779-5154 |
| Full Name | Emergency Room Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 562 E Main St, Louisville, Mississippi |
| Authorized Official Name and Position | Michael A Henry (OWNER) |
| Authorized Official Contact | 6624181999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emergency Room Md Llc 46 Holtsinger Ave Apt G Starkville MS 39759-3574 Ph: (662) 418-1999 | Emergency Room Md Llc 562 E Main St Louisville MS 39339-2742 Ph: (662) 779-5150 |
| NPI Number | 1568739928 |
|---|---|
| Provider Enumeration Date | 11/29/2011 |
| Last Update Date | 11/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568739928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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