Individual
JESSICA SHARLEEN LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1100 HIGHWAY 16 E, CARTHAGE, MS 39051
(601) 267-1195
Mailing address
2020 E FRANKLIN ST, CARTHAGE, MS 39051-7512
(601) 624-2685
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23866
MS
Other
Enumeration date
05/11/2012
Last updated
11/25/2019
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