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Individual

CATIECHA L ESKRIDGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1162 FRANKLIN ST, GRENADA, MS 38901-4237
(662) 417-9102
Mailing address
1162 FRANKLIN ST, GRENADA, MS 38901-4237
(662) 417-9102

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
00-56486
MS
1744P3200X
Prosthetics Case Management
Primary
207N00000X
Dermatology Physician
801849955
MS

Other

Enumeration date
04/14/2018
Last updated
04/13/2021
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