Epp Lowery Ms Pllc | |
5740 Getwell Rd Bldg 10a Southaven MS 38672-7360 | |
(662) 890-3196 | |
Not Available |
Full Name | Epp Lowery Ms Pllc |
---|---|
Speciality | Dentist - Endodontics |
Location | 5740 Getwell Rd Bldg 10a, Southaven, Mississippi |
Authorized Official Name and Position | Jason Bertollini (CREDENTIALING MANAGER) |
Authorized Official Contact | 3154500763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Epp Lowery Ms Pllc Po Box 1584 Brentwood TN 37024-1584 Ph: (315) 450-0763 | Epp Lowery Ms Pllc 5740 Getwell Rd Bldg 10a Southaven MS 38672-7360 Ph: (662) 890-3196 |
NPI Number | 1164245312 |
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Provider Enumeration Date | 11/06/2024 |
Last Update Date | 11/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164245312 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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