Individual
DEANNA NABORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3451 GOODMAN RD E STE 115, SOUTHAVEN, MS 38672-9304
(662) 890-5555
(662) 890-8899
Mailing address
3451 GOODMAN RD E, STE 115, SOUTHAVEN, MS 38672-9304
(662) 890-5555
(662) 420-7525
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18687
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03037321
—
MS
Enumeration date
04/06/2006
Last updated
03/29/2019
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