| Emyrose Healthcare | |
|
1705 Lakefield Dr Tupelo MS 38801-8420 | |
| (662) 321-7899 | |
| Not Available |
| Full Name | Emyrose Healthcare |
|---|---|
| Speciality | Internal Medicine |
| Location | 1705 Lakefield Dr, Tupelo, Mississippi |
| Authorized Official Name and Position | Chukwuemeka Ezeume (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6623217899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emyrose Healthcare Po Box 3249 Tupelo MS 38803-3249 Ph: (662) 321-7899 | Emyrose Healthcare 1705 Lakefield Dr Tupelo MS 38801-8420 Ph: (662) 321-7899 |
| NPI Number | 1841691615 |
|---|---|
| Provider Enumeration Date | 09/10/2014 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841691615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23325 (Mississippi) | Primary |
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