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 |
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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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