Individual
MRS. MEDDOL REGINA MCCRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2070 30TH ST, GULFPORT, MS 39501-6055
(228) 369-8956
Mailing address
2070 30TH ST APT A, GULFPORT, MS 39501-6056
(228) 369-8956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903654
MS
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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