Doctor Name: | FRED GILBERT EMRICK |
NPI Number: | 1144213141 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 05908R |
Business Practice Address: | 307 Highland Blvd Natchez, MS - 391204610 |
Business Phone Number: | 6014425042 |
Business Fax Number: | 6014425052 |
Mailing Address: | 307 Highland Blvd, NATCHEZ |
State: | MS |
Postal Code: | 391204610 |
Phone Number: | 6014425042 |
Fax Number: | 6014425052 |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 05/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 05908R |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |