Individual
MR. STEVENSON PRESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 OLD RULEVILLE RD, CLEVELAND, MS 38732-9592
(662) 347-1122
Mailing address
910 SMITH CV, CLEVELAND, MS 38732-4062
(662) 719-1593
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
0000
MS
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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