NPI Profile for DEDRI M IVORY in VICKSBURG, MS.
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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rheumatology |
207RR0500X | 11 | Physician/Internal Medicine | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1851585004 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 08/30/2007 | |
| Last updated | 01/13/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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DEDRI M IVORY
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