Organization
AGELESS WOMEN'S HEALTH MS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEAH PHILLIPS (CREDENTIALING MANAGER)
(901) 205-3999
Entity
Organization
Contact information
Practice address
811 GARFIELD ST, TUPELO, MS 38801-5748
(662) 350-3106
Mailing address
811 GARFIELD ST, TUPELO, MS 38801-5748
(662) 350-3106
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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