Individual
RASHAN FOXWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
192 FRIENDSHIP CHURCH RD, COLUMBIA, MS 39429-8111
(601) 731-8689
Mailing address
192 FRIENDSHIP CHURCH RD, COLUMBIA, MS 39429-8111
(601) 731-8689
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
801668841
MS
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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