Organization
MAGEE BENEVOLENT ASSOCIATION
Active
Other names
the medical pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON L SCRUGGS FNP (FAMILY NURSE PRACTIONER)
(601) 782-9797
Entity
Organization
Contact information
Practice address
234 MAGNOLIA DR, RALEIGH, MS 39153-6016
(601) 782-9797
(601) 782-9790
Mailing address
234 MAGNOLIA DR, RALEIGH, MS 39153-6016
(601) 782-9797
(601) 782-9790
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R764114
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117436
—
MS
05
—
07585555
—
MS
Enumeration date
03/29/2007
Last updated
03/30/2011
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