Individual
JOSEPH WAYMON MCNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
609 E CHURCH ST, BOONEVILLE, MS 38829-3711
(662) 728-2488
Mailing address
1867 CRANE RIDGE DR STE 150C, JACKSON, MS 39216-4982
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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