Individual
MRS. EUREKIA C SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4635 HIGHWAY 80 E, PEARL, MS 39208-4226
(601) 936-3833
(601) 936-3837
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 936-3833
(601) 936-3837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R860068
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06781511
—
MS
Enumeration date
10/19/2007
Last updated
08/06/2021
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