Individual
MR. ZACHARY HARRISON SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14158 SANCTUARY TRL, GULFPORT, MS 39503-5740
(601) 528-0538
Mailing address
14158 SANCTUARY TRL, GULFPORT, MS 39503-5740
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
61373376
WA
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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