Individual
MR. DANIEL KENNETH NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1097 HIGHWAY 98 E STE B, MCCOMB, MS 39648-9452
(601) 684-8800
(601) 684-8008
Mailing address
1097 HIGHWAY 98 E STE B, MCCOMB, MS 39648-9452
(601) 684-8800
(601) 684-8008
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MS
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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