Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast MS Internal Medicine PC

Organization Internal Medicine Physician · NPI 1407831928

Northeast MS Internal Medicine PC is an Internal Medicine Physician in Booneville, Mississippi. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

202 N 1st St Ste A
Booneville, MS 38829-2718
Phone: (662) 340-1138
Fax: (662) 728-5185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1407831928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laurence Dennis — President · (662) 340-1138
NPI enumeratedDecember 7, 2005
Last updated in NPPESJune 30, 2015
Mailing address202 N 1st St, Suite A, Booneville, MS 38829-2718

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