Individual
HEATHER HARGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 PEGRAM DR, TUPELO, MS 38801-6347
(662) 842-5363
(662) 842-5366
Mailing address
520 PEGRAM DR, TUPELO, MS 38801-6347
(662) 842-5363
(662) 842-5366
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
640936379
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00441006
—
MS
Enumeration date
04/13/2016
Last updated
04/13/2016
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