Individual
MR. CODY ALLEN SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFA
Contact information
Practice address
401 SOUTHCREST CIR STE 203, SOUTHAVEN, MS 38671-6719
(662) 536-1944
Mailing address
3104 STONEHENGE DR, HERNANDO, MS 38632-7366
(662) 671-0242
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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