Individual
MARY H CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 FORMOSA DR, BRANDON, MS 39047-7911
(601) 259-7393
Mailing address
1270 WOODFIELD DR, JACKSON, MS 39211-2023
(601) 720-0790
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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