Individual
GERALDINE MCELROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 N UNION ST, CANTON, MS 39046-3730
(601) 859-3316
Mailing address
317 N UNION ST, CANTON, MS 39046-3730
(601) 859-3316
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R626716
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124250
—
MS
Enumeration date
02/16/2007
Last updated
07/09/2007
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