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Contact Information

DONNA R AYCOCK
2705 HIGHWAY 51 S
HERNANDO, MS38632-2634
 Phone: 662-449-1971
 Fax: 662-449-1974
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DONNA R AYCOCK · (Female)

NPI Number 1457634446
Status Active
Credentials
Entity Individual
Enumeration date 09/26/2011
Last updated 09/26/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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