Individual
SHAQUALAR MONIQUE GANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-1000
Mailing address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 244-2150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901657
MS
Other
Enumeration date
12/12/2016
Last updated
01/18/2024
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