Individual
DR. MARY WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
107 PARK PL, CLINTON, MS 39056-6111
(601) 260-7937
Mailing address
107 PARK PL, CLINTON, MS 39056-6111
(601) 260-7937
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04266
MS
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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