Organization
REGIONAL REHABILITATION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VICKI BUTLER GAILLARD CCC-A (AUDIOLOGIST)
(662) 842-1891
Entity
Organization
Contact information
Practice address
615 PEGRAM DR, TUPELO, MS 38801-6321
(662) 842-1891
(662) 840-0941
Mailing address
615 PEGRAM DR, TUPELO, MS 38801-6321
(662) 842-1891
(662) 840-0941
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0737
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0770476
—
MS
Enumeration date
11/04/2008
Last updated
11/04/2008
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