Individual
DR. MARY GUNN PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-3781
(601) 984-5085
Mailing address
2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A3929
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02287740
—
MS
Enumeration date
05/22/2014
Last updated
03/30/2018
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