Individual
DR. CARY NOLAN METTETAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 E LEE ST, SARDIS, MS 38666-1227
(662) 487-0004
(662) 487-0006
Mailing address
401 E LEE ST, SARDIS, MS 38666-1227
(662) 487-0004
(662) 487-0006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15482
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120459
—
MS
Enumeration date
02/08/2006
Last updated
02/01/2010
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