Individual
MR. MARK WAYLON SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
336 EUREKA STREET, TAYLORSVILLE, MS 39168-0291
(601) 785-4322
(866) 404-2914
Mailing address
PO BOX 291, TAYLORSVILLE, MS 39168-0291
(601) 785-4322
(866) 404-2914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
906998
MS
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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