Individual
ERICA BARHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 264-6000
Mailing address
202 WALLER ST, PETAL, MS 39465-2754
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT0418
MS
Other
Enumeration date
06/07/2017
Last updated
06/07/2017
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