Individual
SALLY LAWSON MORGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
182 W MAIN ST, NETTLETON, MS 38858
(662) 963-5050
(662) 963-5051
Mailing address
182 W MAIN ST, NETTLETON, MS 38858-6075
(662) 963-5050
(662) 963-5051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R682446
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117719
—
MS
Enumeration date
05/16/2006
Last updated
05/23/2018
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