National Provider Identifier Database

DEDRI M IVORY, MD – NPI #1851585004
Rheumatology

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.


Contact Information

DEDRI M IVORY, MD
3510 PEMBERTON SQUARE BLVD
VICKSBURG, MS39180-5506
Phone: 601-501-6991
Fax: 601-501-6987
Website:
Specialty Taxonomy Code
* Rheumatology 207RR0500X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for DEDRI M IVORY

NPI Number 1851585004
Credentials MD
Entity Individual
Enumeration date 08/30/2007
Last updated 01/13/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2009009253
  • MS License #: 21520
  • OH License #: 57.011968
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DEDRI M IVORY, MD

There are currently no reviews for DEDRI M IVORY, MD


NPIdb - Home
v2.201