Individual
MR. FREDERICK BARNETT CARLTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
551 AZALEA DR, OXFORD, MS 38655-7900
(662) 234-0332
Mailing address
53 SHELIA DR, OXFORD, MS 38655-5609
(662) 832-1616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905555
MS
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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