Individual
MILLICENT ALICIA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 LISA DRIVE EXT, GREENVILLE, MS 38703-4408
(662) 335-2897
Mailing address
1500 ED GRAY DR APT 7B, GREENVILLE, MS 38703-6622
(662) 394-1744
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
MS
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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