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Organization

PEDIATRICS PLUS, PLLC

Active
Other names
Pediatrics Plus Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE OBERHOUSEN BOYDSTON NP (OWNER)
(601) 201-4419
Entity
Organization

Contact information

Practice address
7215 S SIWELL RD STE B, BYRAM, MS 39272-9776
(601) 201-4419
Mailing address
1501 RAYMOND BOLTON RD, RAYMOND, MS 39154-9591
(601) 201-4419

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/16/2024
Last updated
05/17/2024
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