Individual
DR. CATHERINE JOHNSON MINCY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
607 W CHURCH ST, BOONEVILLE, MS 38829-2647
(662) 728-5199
(662) 728-6903
Mailing address
114 WOODRIDGE DR, BOONEVILLE, MS 38829-8294
(662) 728-8133
(662) 728-6903
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3009-97
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015740
—
MS
Enumeration date
01/22/2007
Last updated
07/09/2007
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