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Individual

MRS. TAMMARA CREASON MORGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
88 COUNTY ROAD 713, CORINTH, MS 38834-7308
(662) 808-2429
Mailing address
88 COUNTY ROAD 713, CORINTH, MS 38834-7308
(662) 808-2429

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
00770369
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00770369
MS
Enumeration date
11/05/2007
Last updated
11/05/2007
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