Individual
MISS SHELIA SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
123 MCCOMB AVE, PORT GIBSON, MS 39150-2915
(601) 437-2271
Mailing address
123 MCCOMB AVE, PORT GIBSON, MS 39150-2915
(601) 437-2271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T7960
MS
Other
Enumeration date
10/27/2015
Last updated
10/28/2015
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