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Contact Information

730 NEW ALBANY PROFESSIONAL PLLC
730 COULTER DR
NEW ALBANY, MS38652-2807
 Phone: 662-534-4397
 Fax: 662-534-6599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 730 NEW ALBANY PROFESSIONAL PLLC · (Female)

NPI # 1740994219
Status Active
Credentials
Entity Individual
Enumeration date 01/10/2023
Last updated 01/10/2023 - About 3 years ago
Sole proprietor 1 Not specified
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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