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Individual

CAROLYN DENISE RANSBURG-GARNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1500 E WOODROW WILSON DRIVE, JACKSON, MS 39216-5199
(601) 362-4471
(601) 364-1425
Mailing address
PO BOX 37, PICKENS, MS 39146-0037

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R678643
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0120539
MS
Enumeration date
09/07/2006
Last updated
10/28/2010
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