Individual
CHRISTINE JENKINS SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 HAYNES GRAY RD, CARSON, MS 39427-6397
(601) 674-2642
Mailing address
PO BOX 143, BASSFIELD, MS 39421-0143
(601) 674-2642
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
MS
347C00000X
Private Vehicle
Primary
800841400
MS
Other
Enumeration date
01/30/2023
Last updated
02/02/2023
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