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NPI Code Detail

MEDICARE: JENNIFER G TRIHOULIS MD

MEDICARE:   JENNIFER G TRIHOULIS  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
12084P0800XPsychiatry Physician19631MS

General Provider Information

NPI Number : 1699891705
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER G TRIHOULIS MD
Provider Business Mailing Address
First Line : 5266 OLD HIGHWAY 11 STE 70-309
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-7817
Country : US
Telephone Number : 601-336-2220
Fax Number : 601-336-2221
Provider Business Practice Location Address
First Line : 1113 HIGHWAY 98 BYP STE B
Second Line :
City : COLUMBIA
State : MS
Zip : 39429-3746
Country : US
Telephone Number : 601-336-2220
Fax Number : 601-336-2221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2007
Last Update Date : 12/16/2011

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Directions to “ JENNIFER G TRIHOULIS MD” Practice Location

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