Individual
PATRICIA BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FPNP
Contact information
Practice address
100 PRESTON MCKAY DR, SENATOBIA, MS 38668-2350
(662) 562-4428
Mailing address
763 WYATTE TYRO RD, HOLLY SPRINGS, MS 38635
(662) 562-5481
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R138480
MS
Other
Enumeration date
10/03/2006
Last updated
06/28/2010
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