Individual
MALLORY MCKENZIE WARRINGTON WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MEDICAL PARK DR, OXFORD, MS 38655-5327
(662) 513-4399
Mailing address
212 FOREST GLEN DR, OXFORD, MS 38655-6023
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R890042
MS
Other
Enumeration date
02/06/2015
Last updated
02/06/2015
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