Southwest Ms Nephrology, Pllc
LBN: Southwest Ms Nephrology, Pllc
Southwest Ms Nephrology, Pllc is an health care organization with primary practice located at 513C Brookman Dr , Brookhaven MS 39601-2326. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty.
Southwest Ms Nephrology, Pllc can be contacted via phone (601) 833-3822, or through Miller, Richard Eric via phone (601) 405-1593.
Contact Information
Primary practice address
513C Brookman Dr
Brookhaven MS 39601-2326
Phone: (601) 833-3822
Fax: (601) 835-4330
Website:
Authorized official contact:
Name: Miller, Richard Eric Doctor of Medicine (MD)
Phone: (601) 405-1593
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | Mississippi |
Profile Details
| NPI number | 1396894234 |
|---|---|
| LBN Legal business name | Southwest Ms Nephrology, Pllc |
| DBA Doing business as | Southwest Ms Nephrology, Pllc |
| Authorized official | Miller, Richard Eric Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Oct 18th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396894234 | NPPES |
| Mississippi | MEDICAID | 08059229 |
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