Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. DEDRI MARKITA IVORY, M.D.
ActiveMS. DEDRI MARKITA IVORY, M.D. is a Rheumatology healthcare provider located in VICKSBURG, Mississippi. NPI 1851585004 is currently active in the NPPES registry. Verify at CMS.
Rheumatology · VICKSBURG, MS
Registration Details
- NPI Number
- 1851585004
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2007 (18.972095393479 yrs)
- Last Updated
- Jan 13, 2017
- Licenses
-
21520 (MS)2009009253 (MO)57.011968 (OH)
Practice Information
- Address
-
3510 PEMBERTON SQUARE BLVDVICKSBURG, MS, 391805506Browse MS providers · Browse ZIP 39180
- Phone
- 6015016991
- Fax
- 6015016987
- Primary Specialty
-
Rheumatology
207RR0500X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.