Individual
MARTHA MCGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 N JACKSON ST, STE C, CRYSTAL SPRINGS, MS 39059-2177
(601) 308-5253
(601) 308-5263
Mailing address
809 N JACKSON ST, STE C, CRYSTAL SPRINGS, MS 39059-2177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902343
MS
Other
Enumeration date
11/27/2017
Last updated
10/20/2018
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