Individual
ANNA LAURA CLARK SCROGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 E FIFTEENTH ST, YAZOO CITY, MS 39194-2631
(662) 532-1543
(662) 532-1544
Mailing address
321 E FIFTEENTH ST, YAZOO CITY, MS 39194-2631
(662) 571-0035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903555
MS
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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