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NPI 1780475566 · on the registry since 2025
Practice
- Address
- 1009 Pine Meadows Dr
Crystal Springs, MS 39059 - Phone
- (601) 717-3111
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2025-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi