Individual
TERAH SHELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1425 SIMPSON US 49, MAGEE, MS 39111
(601) 849-4949
Mailing address
227 KENNEDY FARM PKWY, BRANDON, MS 39042-6615
(601) 320-1563
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4126-20
MS
Other
Enumeration date
06/03/2020
Last updated
01/17/2025
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