Individual
RITA CARTER-MCREYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14130 HIGHWAY 15 S STE D, LOUISVILLE, MS 39339-6452
(662) 779-1175
(601) 965-0324
Mailing address
2701 DAVIS ST, MERIDIAN, MS 39301-5708
(601) 693-0118
(601) 965-0324
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901737
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02978042
—
MS
Enumeration date
10/25/2016
Last updated
03/17/2018
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