Organization
POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOUISE SMITH (SUPPORT STAFF SPECIALIST)
(601) 795-8477
Entity
Organization
Contact information
Practice address
304 W 11TH ST., LUMBERTON, MS 39455
(601) 796-8674
(601) 796-2167
Mailing address
804 S JULIA ST, POPLARVILLE, MS 39470-3017
(601) 795-8477
(601) 403-8162
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R859077
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08229258
—
MS
Enumeration date
05/22/2007
Last updated
08/22/2020
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