Individual
DR. SHERYLL ANGELA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5440 WATKINS DR, STE A, JACKSON, MS 39206-2034
(601) 981-3636
(601) 982-5335
Mailing address
5440 WATKINS DR, STE A, JACKSON, MS 39206-2034
(601) 981-3636
(601) 982-5335
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
14014
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116035
—
MS
Enumeration date
04/27/2006
Last updated
06/15/2010
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