Individual
SHARON GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 MOUNT CHARITY RD, CARTHAGE, MS 39051-8666
(601) 750-0737
Mailing address
3825 MOUNT CHARITY RD, CARTHAGE, MS 39051-8666
(601) 750-0737
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
802102760
MS
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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