Individual
LATASHA MYLES-MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSS
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
Mailing address
P.O. BOX 1, 3550 HWY 468 W PYSICAL SERVICES, WHITFIELD, MS 39193-0157
(601) 351-8000
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
10/10/2008
Last updated
02/07/2014
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