Individual
TORI FAIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 SHADEVILLE RD, WIGGINS, MS 39577-9071
(601) 258-2644
Mailing address
175 SHADEVILLE RD, WIGGINS, MS 39577-9071
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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