Individual
TERRA LEIGH PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 BROAD ST, COLUMBIA, MS 39429-3037
(601) 736-8282
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7283
(601) 736-8282
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29038
MS
Other
Enumeration date
03/25/2019
Last updated
07/27/2022
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