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Individual

BILLY PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1560 SUMRALL RD, COLUMBIA, MS 39429-2654
(601) 736-6303
Mailing address
PO BOX 281030, ATLANTA, GA 30384-1030
(904) 482-1070
(904) 482-1077

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R858322
MS

Other

Enumeration date
07/17/2013
Last updated
07/17/2013
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