Individual
CHANTELLE HARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-2539
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
32487
MS
Other
Enumeration date
07/13/2019
Last updated
01/18/2024
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