Individual
MR. MICHAEL HARRIS BARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1031 NORTHRIDGE RD, BALDWYN, MS 38824-1173
(662) 365-9305
Mailing address
1031 NORTHRIDGE RD, BALDWYN, MS 38824-1173
(662) 365-9305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902420
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06434705
—
MS
Enumeration date
03/12/2018
Last updated
04/29/2021
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