Healthcare Provider Details

I. General information

NPI: 1528603859
Provider Name (Legal Business Name): DANIEL MURRY EDDINGS NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2019
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

806 EARL FRYE BLVD
AMORY MS
38821-5505
US

IV. Provider business mailing address

206 OXFORD RD
NEW ALBANY MS
38652-3115
US

V. Phone/Fax

Practice location:
  • Phone: 662-478-2450
  • Fax: 662-534-2330
Mailing address:
  • Phone: 662-534-2227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number903634
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: