Individual
TAMMI FULGHAM LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
146 PARKWAY MNR, HERNANDO, MS 38632-1644
(256) 694-1200
Mailing address
146 PARKWAY MNR, HERNANDO, MS 38632-1644
(256) 694-1200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
3541
TN
363AM0700X
Medical Physician Assistant
Primary
PA00435
MS
Other
Enumeration date
04/24/2018
Last updated
04/21/2024
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