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Individual

MRS. TAMMY WHITE BURTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1462 HIGHWAY 1 S, GREENVILLE, MS 38701-7140
(662) 702-5121
Mailing address
1462 - A HIGHWAY 1 S, GREENVILLE, MS 38701
(662) 702-5121

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901976
MS

Other

Enumeration date
12/13/2016
Last updated
06/09/2017
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