Individual
MRS. MAGAN LEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-5500
Mailing address
215 MARION AVENUE, MCCOMB, MS 39648
(601) 249-5500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901438
MS
Other
Enumeration date
02/26/2016
Last updated
08/11/2017
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