Individual
MRS. MOLLIE BEARD CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
114 N LEHMBERG RD, COLUMBUS, MS 39702-5554
(662) 329-2955
Mailing address
114 N LEHMBERG RD, COLUMBUS, MS 39702-5554
(662) 329-2955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R888424
MS
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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