Individual
DEMEARA VIRGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1553 E COUNTY LINE RD, JACKSON, MS 39211-1806
(769) 229-2413
Mailing address
514 CASTLEWOODS BLVD, BRANDON, MS 39047-7632
(769) 229-2413
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MS
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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