Individual
MRS. CAROLINE IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 N STATE ST STE 502, JACKSON, MS 39202-2414
(601) 944-1781
Mailing address
117 PALIN DR, MADISON, MS 39110-6959
(601) 863-9441
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
PA00692
MS
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
02/09/2023
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