Individual
SALLY PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
MUW COLLEGE ST, COLUMBUS, MS 39701
(662) 329-7307
Mailing address
815 PINECREST DR., MACON, MS 39341
(662) 726-5408
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R546992
MS
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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