Individual
CHRISTAL SAREDA FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3099 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4308
(228) 872-2403
Mailing address
118 STREETS LN, LUCEDALE, MS 39452-9447
(601) 530-9099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904675
MS
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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