Individual
ASHLEY DORMAN BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 HIGHWAY 49 S STE 1, RICHLAND, MS 39218-9438
(601) 973-1576
(601) 664-0055
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905768
MS
Other
Enumeration date
03/10/2023
Last updated
03/22/2023
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