Organization
DENESIA Y GIFFIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL FULCHER (ADM)
(601) 636-0097
Entity
Organization
Contact information
Practice address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Mailing address
1901 MISSION 66, VICKSBURG, MS 39180-3711
(601) 636-0097
(601) 629-9969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
748148
MS
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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