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Individual

MRS. CHRISTINA L MEADOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1407 S MAIN ST, POPLARVILLE, MS 39470-3369
(601) 795-0659
(601) 795-8639
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 795-0659
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R853339
MS
363LF0000X
Family Nurse Practitioner
Primary
853339
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125831
MS
Enumeration date
10/12/2005
Last updated
08/11/2020
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