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DR. PATRICK EAKES MD

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1194739656

Individual Registrant:
DR. PATRICK  EAKES MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
921 WEST BEACON STREET  PHILADELPHIA, MS 39350 US
Tel: 604-656-6116  Fax: 601-656-5445

Contact information for business:
921 WEST BEACON STREET  PHILADELPHIA, MS 39350 US
Tel: 604-656-6116  Fax: 601-656-5445

Registration Information:
NPI: 1194739656
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
MS16521

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TRICARE20361448101
MEDICARE ID080003675MS01




HEALTH CARE JOBS MS - Page 1



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