Individual
MS. SHIRLEY SHONTA RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ASSOCIATE DEGREE
Contact information
Practice address
214 E RANKIN ST, COLUMBIA, MS 39429-8740
(601) 441-5603
Mailing address
214 E RANKIN ST, COLUMBIA, MS 39429-8740
(601) 441-5603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R886069
MS
Other
Enumeration date
05/31/2013
Last updated
02/22/2014
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