Dr. Miriam J. Shatley, M.D.
Dermatology in Flowood, MS. Individual provider (NPI-1).
NPI number1235154121
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1235154121
- Entity type
- Individual (NPI-1)
- Name
- Dr. Miriam J. Shatley
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 14462 | MS | Yes |
Practice location
108 Belle Meade PointeFlowood, MS 39232
Phone 601-992-7002
Mailing address
107 Heron Cove - FoxbayBrandon, MS 39047-8993
Phone 601-992-7002
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