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NPI Code Detail

MEDICARE: DR. FREDERICK E NORA MD

MEDICARE: DR. FREDERICK E NORA 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician18068MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00448955OTHERMSMEDICARE RAILROAD

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 : 1679556989
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK E NORA MD
Provider Business Mailing Address
First Line : 5052 W 4TH ST
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1069
Country : US
Telephone Number : 601-268-5995
Fax Number : 601-261-3201
Provider Business Practice Location Address
First Line : 5052 W 4TH ST
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-1069
Country : US
Telephone Number : 601-268-5995
Fax Number : 601-261-3201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 05/21/2008

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