Individual
CARRIE LOFTISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1167 S GREEN ST, TUPELO, MS 38804-4900
(662) 322-7064
(662) 775-4244
Mailing address
3322 W END AVE, NASHVILLE, TN 37203-1031
(615) 515-9880
(605) 505-9891
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57-013094
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04787221
—
MS
Enumeration date
10/19/2007
Last updated
02/28/2014
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