Individual
DR. NICOLE ELISE CARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
50 PARKWAY LN STE C, PETAL, MS 39465-3035
(601) 705-0260
(601) 261-3583
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 705-0260
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25302
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04575251
—
MS
Enumeration date
06/02/2014
Last updated
05/31/2024
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