Individual
ROSEMARY T HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19395 HIGHWAY 14, MACON, MS 39341-9213
(662) 726-4211
Mailing address
19395 HIGHWAY 14, MACON, MS 39341-9213
(662) 726-4211
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
113990
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123958
—
MS
Enumeration date
02/12/2007
Last updated
07/09/2007
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