Individual
NANCY SALLOUM HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
104 MILLSAPS DR, HATTIESBURG, MS 39402-1328
(601) 288-7500
(601) 579-5240
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
25183
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09200033
—
MS
Enumeration date
05/27/2014
Last updated
08/17/2022
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