| NPI | 1508229378 |
|---|---|
| Doing Business As | DEDRI M IVORY MD PLLC |
| Entity Type | Organization |
| Authorized Contact | DEDRI M IVORY Owner 601-501-6991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MS 21520) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2017-01-13 |