Individual
DR. REBECCA COOLEY COURTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
134 CRITZ ST N, WIGGINS, MS 39577-3216
(601) 928-7901
(601) 928-2373
Mailing address
134 CRITZ ST N, WIGGINS, MS 39577-3216
(601) 928-7901
(601) 928-2373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3290-04
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09302042
—
MS
Enumeration date
03/06/2007
Last updated
04/11/2017
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