Individual
WENDELL TYRONE CARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
109 E DONALD ST, QUITMAN, MS 39355-2310
(601) 513-8508
(601) 557-4181
Mailing address
PO BOX 838, QUITMAN, MS 39355-0838
(601) 513-8508
(601) 557-4181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R862287
MS
Other
Enumeration date
03/29/2014
Last updated
01/18/2023
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