Individual
SYLVIA WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1551 W GOVERNMENT ST, BRANDON, MS 39042-2408
(601) 825-3163
Mailing address
PO BOX 1509, BRANDON, MS 39043-1509
(601) 825-7280
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
17704
OK
208000000X
Pediatrics Physician
Primary
22598
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05376221
—
MS
Enumeration date
08/14/2013
Last updated
04/16/2014
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