Individual
MELINDA BOZEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 703-0124
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6146
(601) 703-0124
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
R847045
MS
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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