Individual
TAMMY FAUCETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFA
Contact information
Practice address
1200 22ND AVE, MERIDIAN, MS 39301-4009
(601) 693-7742
(601) 693-7758
Mailing address
9306 COLLINSVILLE CIR, COLLINSVILLE, MS 39325-9174
(601) 693-7742
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
92373
MS
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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