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Individual

CYNTHIA PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
123 ALCORN DR, CORINTH, MS 38834-9359
(662) 286-2866
(662) 286-2864
Mailing address
P.O. BOX 298, FLORENCE, AL 35631-0298
(256) 767-7494
(256) 765-0377

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R851921
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06430512
MS
05
2656050
MS
Enumeration date
08/01/2006
Last updated
06/29/2012
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