Individual
LAQUITA GAY BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 NORMAN RD, CORINTH, MS 38834
(662) 287-6999
(662) 287-1709
Mailing address
502 ALCORN DRIVE, CORINTH, MS 38834
(662) 287-5216
(662) 287-8406
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7259
TN
363LF0000X
Family Nurse Practitioner
Primary
R850466
MS
Other
Enumeration date
11/03/2006
Last updated
05/14/2021
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