Individual
MAYCI MCCLOUD SPEIGHTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
502 BROAD ST, COLUMBIA, MS 39429-3037
(601) 736-8282
Mailing address
502 BROAD ST, COLUMBIA, MS 39429-3037
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906587
MS
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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