Organization
REACH MISSISSIPPI FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WHITNEY ANN DOIRON NP-C (NURSE PRACTITIONER)
(601) 661-8400
Entity
Organization
Contact information
Practice address
3420 WISCONSIN AVE, SUITE 5, VICKSBURG, MS 39180-5384
(601) 661-8400
(601) 661-0048
Mailing address
3420 WISCONSIN AVE, SUITE 5, VICKSBURG, MS 39180-5384
(601) 661-8400
(601) 661-0048
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R861797
MS
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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