Organization · NPI-2
Amnuey M Chiemprabha MD PA
Family Medicine · Mendenhall, MS
NPI number1346300423
StatusActive
Last updated in NPPESMay 5, 2008
Details
- NPI
- 1346300423
- Entity type
- Organization (NPI-2)
- Legal business name
- Amnuey M Chiemprabha MD PA
- Organization subpart
- No
- Enumeration date
- Dec 11, 2006
- Last updated
- May 5, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 08142 | MS | Yes |
| 208600000X | Surgery | 08142 | MS |
Other names
- Doctors Clinic (Doing Business As)
Practice location
820 Mangum AveMendenhall, MS 39114
Phone 601-847-5066 · Fax 601-847-0149
Mailing address
Po Box 295Mendenhall, MS 39114
Phone 601-847-5066 · Fax 601-847-0149
Authorized official
Amnuey M Chiemprabha
President
6018475066
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