Individual
MRS. ANGELIA MICHELE EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
283 W RACE ST, ROLLING FORK, MS 39159-2621
(662) 873-0477
(662) 655-1236
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
904643
MS
Other
Enumeration date
07/27/2021
Last updated
04/14/2022
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