Individual
DR. MOLLY UPCHURCCH HYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTDL/R
Contact information
Practice address
217 METHODIST BLVD, HATTIESBURG, MS 39402-1338
(601) 329-2030
Mailing address
27 LAKE FORGETFUL APT 631, HATTIESBURG, MS 39402-8286
(662) 588-9353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-3962
MS
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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