Individual
CHRISTY TUCKER OSWALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 S THOMAS ST, TUPELO, MS 38801-4352
(662) 842-7870
(662) 842-7873
Mailing address
1159 DOGWOOD DR, TUPELO, MS 38801-9631
(662) 680-6944
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19214
MS
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
19414
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04971328
—
MS
Enumeration date
12/18/2006
Last updated
06/03/2009
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