Individual
TARA DENISE RAWLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7 PROFESSIONAL PKWY STE 201, HATTIESBURG, MS 39402-2648
(601) 602-4793
(601) 602-4905
Mailing address
7 PROFESSIONAL PKWY STE 201, HATTIESBURG, MS 39402-2648
(601) 602-4793
(601) 602-4905
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
12/30/2024
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