Individual
KRISTA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16614 HIGHWAY 15, DECATUR, MS 39327-9645
(601) 666-0460
Mailing address
PO BOX 159, DECATUR, MS 39327-0159
(601) 666-0460
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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