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Individual

DR. MARY ANNE FRANK-TARSI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1301 SUNSET DR, SUITE E, GRENADA, MS 38901-4003
(662) 229-0069
(662) 229-0752
Mailing address
1301 SUNSET DR, SUITE E, GRENADA, MS 38901-4003
(662) 229-0069
(662) 229-0752

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09964
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00123814
MS
01
640713688
TAX IDENTIFICATION NUMBER
MS
Enumeration date
06/16/2006
Last updated
07/30/2008
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