Individual
DR. KETURAH MICHELLE VANNORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 CROSSGATE DR W, BRANDON, MS 39042-2233
(601) 825-0925
(601) 825-0967
Mailing address
1405 CROSSGATE DR W, BRANDON, MS 39042-2233
(601) 825-0925
(601) 825-0967
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15788
MS
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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