Individual
CLIFTON DEWAYNE REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 W PEELER AVE, SHAW, MS 38773-8710
(662) 754-3304
(662) 754-3301
Mailing address
112 W PEELER AVE, SHAW, MS 38773-8710
(662) 754-3304
(662) 754-3301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R877471
MS
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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