Individual
LESLIE KAY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 OXFORD RD, NEW ALBANY, MS 38652-3117
(662) 534-8166
Mailing address
3061 COUNTY ROAD 602, DUMAS, MS 38625-9713
(662) 587-0211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903492
MS
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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