Rea, Misty Nicole

Rea, Misty Nicole is an individual health care provider with primary practice located at 1314 19Th Ave , Meridian MS 39301-4116. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Rea, Misty Nicole can be contacted via phone (601) 703-9260.

Contact Information

Primary practice address
1314 19Th Ave Meridian MS 39301-4116
Phone: (601) 703-9260
Fax: (601) 703-4050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21407 Mississippi

Profile Details

NPI number 1306035910
LBN Legal business name Rea, Misty Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2007
Last updated Nov 9th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306035910 NPPES
Mississippi MEDICAID 08959701

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