Dyess, Renee Okja
Dyess, Renee Okja is an individual health care provider with primary practice located at 151 E Metro Dr Suite 103, Flowood MS 39232-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dyess, Renee Okja can be contacted via phone (601) 992-3288.Contact Information
Primary practice address
151 E Metro Dr Suite 103
Flowood MS 39232-4402
Phone: (601) 992-3288
Fax: (601) 992-3188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20104 | Mississippi |
Profile Details
| NPI number | 1518167832 |
|---|---|
| LBN Legal business name | Dyess, Renee Okja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2007 |
| Last updated | Dec 17th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518167832 | NPPES |
| Mississippi | MEDICAID | 04139568 |
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