Provider Demographics
NPI:1851331649
Name:INTERNAL MEDICINE ASSOCIATES OF NATCHEZ, PLLC
Entity Type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES OF NATCHEZ, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:DALY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-446-7343
Mailing Address - Street 1:46 SERGEANT PRENTISS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NATCHEZ
Mailing Address - State:MS
Mailing Address - Zip Code:39120-4725
Mailing Address - Country:US
Mailing Address - Phone:601-446-7343
Mailing Address - Fax:601-445-0833
Practice Address - Street 1:46 SERGEANT PRENTISS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:NATCHEZ
Practice Address - State:MS
Practice Address - Zip Code:39120-4725
Practice Address - Country:US
Practice Address - Phone:601-446-7343
Practice Address - Fax:601-445-0833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSC03055Medicare ID - Type UnspecifiedGROUP NUMBER