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NPI Code Detail

MEDICARE: JAMES E CORDER MD

MEDICARE: JAMES E CORDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician12403MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285656850
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES E CORDER MD
Provider Business Mailing Address
First Line : PO BOX 789
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39566-0789
Country : US
Telephone Number : 228-818-0563
Fax Number : 228-818-0519
Provider Business Practice Location Address
First Line : 3109 BIENVILLE BLVD
Second Line :
City : OCEAN SPRINGS
State : MS
Zip : 39564-4361
Country : US
Telephone Number : 228-818-0563
Fax Number : 228-818-0519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/09/2007

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Directions to “ JAMES E CORDER MD” Practice Location

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