Organization
OFF MAIN STREET MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON L SCRUGGS CFNP (OWNER)
(601) 785-4322
Entity
Organization
Contact information
Practice address
336 EUREKA STREET, TAYLORSVILLE, MS 39168-0291
(601) 785-4322
(601) 785-6681
Mailing address
PO BOX 291, 336 EUREKA STREET, TAYLORSVILLE, MS 39168-0291
(601) 785-4322
(601) 785-6681
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R764114
MS
Other
Enumeration date
02/03/2015
Last updated
07/29/2021
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