Individual
MRS. CARRIE COPE MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
785 OHIO AVE, SUITE 1D, CLARKSDALE, MS 38614-6217
(662) 624-5464
Mailing address
785 OHIO AVE, SUITE 1D, CLARKSDALE, MS 38614-6217
(662) 624-5464
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872150
MS
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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