Individual
CHERMAINE MCINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15051 PARKWOOD DR N, GULFPORT, MS 39503-2557
(228) 760-0203
Mailing address
15051 PARKWOOD DR N, GULFPORT, MS 39503-2557
(228) 760-0203
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1258752
MS
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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