Individual
POONAM BAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-6652
Mailing address
141 MILL POND XING UNIT I1, CARROLLTON, GA 30116-1228
(929) 990-1293
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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