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Individual

MS. LEIGH WINTER SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1397 BELK BLVD, OXFORD, MS 38655-5301
(662) 236-4675
(662) 281-0819
Mailing address
1397 BELK BLVD, OXFORD, MS 38655-5301
(662) 236-4675
(662) 281-0819

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R890697
MS
363LF0000X
Family Nurse Practitioner
RN139992
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225713508B
GA
05
225713508C
GA
05
225713508F
GA
Enumeration date
07/14/2005
Last updated
11/01/2012
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