Individual
MRS. THEA A BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
935 MCALLISTER ST, GREENVILLE, MS 38701-5808
(662) 378-3423
(662) 378-3423
Mailing address
935 MCALLISTER ST, GREENVILLE, MS 38701-5808
(662) 378-3423
(662) 378-3423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P279862
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
770324015
—
MS
Enumeration date
12/04/2007
Last updated
12/04/2007
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