Individual
DERRICK A. HIGH II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2071 HIGHWAY 35 S STE C, FOREST, MS 39074-7838
(662) 516-8676
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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