Individual
MRS. PAMELA R FAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15 A SOUTH 6TH STREET, BAY SPRINGS, MS 39422
(601) 764-2101
(601) 764-4789
Mailing address
3007 HWY 15, BAY SPRINGS, MS 39422
(601) 764-3055
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R629871
MS
Other
Enumeration date
03/27/2007
Last updated
07/09/2007
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