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Individual

TARA WADKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
611 ALCORN DR, CORINTH, MS 38834-9368
(662) 293-1440
(662) 293-4334
Mailing address
611 ALCORN DR, CORINTH, MS 38834-9321
(662) 293-1440
(662) 293-4334

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
25215
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
R857140
MS

Other

Enumeration date
03/08/2007
Last updated
10/17/2025
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