AMY M DIMITRIADES

GULFPORT, MS
NPI1396065694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R859046)
Enumeration Date2010-06-09
Last Update Date2014-07-10
Business Address
-- AMY M DIMITRIADES NP-C
4540 W RAILROAD ST
GULFPORT, MS 39501-2480
Phone number: 228-867-6062
Mailing Address
-- AMY M DIMITRIADES NP-C
PO BOX 1810
GULFPORT, MS 39502-1810
Phone number: 228-865-1330