Individual
MRS. LINDSAY RUNNELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSA, STFA
Contact information
Practice address
1000 HIGHLAND COLONY PKWY STE 27202, RIDGELAND, MS 39157-2073
(769) 300-2946
(769) 300-2953
Mailing address
500 EASTSIDE CV, BRANDON, MS 39047-7793
(601) 842-7355
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
4681
KY
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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