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Individual

BETHANY JO EARHART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-1000
Mailing address
46 CAMPBELL DR, WEST POINT, MS 39773-6670
(662) 251-6979

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901952
MS

Other

Enumeration date
09/09/2024
Last updated
03/17/2025
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