Individual
GEORGIA CHRISTINE SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2008 BROOKSTONE PLACE, BRANDON, MS 39042
(601) 208-0656
Mailing address
2008 BROOKSTONE PL, BRANDON, MS 39042-2959
(601) 208-0656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
870349R
MS
Other
Enumeration date
01/09/2013
Last updated
06/08/2015
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