Individual
CELIA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 BROOKHAVEN DR, SOUTHAVEN, MS 38671-3554
(731) 343-1327
Mailing address
1776 BROOKHAVEN DR, SOUTHAVEN, MS 38671-3554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
01/03/2020
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