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NPI Code Detail

MEDICARE: DAVID H IRWIN JR. MD

MEDICARE: DAVID H IRWIN JR. 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
1207RC0000XCardiovascular Disease Physician07320MS

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 : 1821108077
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID H IRWIN JR. MD
Provider Business Mailing Address
First Line : 499 GLOSTER CREEK VLG STE A2
Second Line : CARDIOLOGY ASSOCIATES OF NORTH MS, PA
City : TUPELO
State : MS
Zip : 38801-4749
Country : US
Telephone Number : 662-620-6800
Fax Number : 662-620-6920
Provider Business Practice Location Address
First Line : 499 GLOSTER CREEK VLG STE A2
Second Line : CARDIOLOGY ASSOCIATES OF NORTH MS, PA
City : TUPELO
State : MS
Zip : 38801-4749
Country : US
Telephone Number : 662-620-6800
Fax Number : 662-620-6920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 06/28/2011

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