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Individual

MISTY SHEA MOSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
844 S MADISON ST, TUPELO, MS 38801-4904
(662) 377-5400
(662) 377-5415
Mailing address
844 S MADISON ST, TUPELO, MS 38801-4904
(662) 377-5400
(662) 377-5415

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20141
MS
207Q00000X
Family Medicine Physician
T-1852
MS

Other

Enumeration date
11/08/2007
Last updated
05/11/2017
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