Individual
MRS. BRITTANY THREATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Mailing address
251 EISENHOWER DR APT 250, BILOXI, MS 39531-3609
(228) 257-3169
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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