Individual
SHERYL INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3195 THREATT RD, OLIVE BRANCH, MS 38654-6600
(901) 331-2591
Mailing address
3195 THREATT RD, OLIVE BRANCH, MS 38654-6600
(901) 331-2591
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
868556
MS
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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