Individual
AMANDA LAINE MCARTHUR-MACISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
5909 HIGHWAY 49 SOUTH,, SUITE 30, HATTIESBURG, MS 39402
(601) 296-2780
(601) 296-2781
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 296-2780
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
880272
MS
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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