Individual
MRS. SHELIA RENEE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
403 JACKSON CIR, COLUMBUS, MS 39705-1261
(662) 251-5307
Mailing address
403 JACKSON CIR, COLUMBUS, MS 39705-1261
(662) 251-5307
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R872457
MS
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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