Individual
TRESSA ANN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Mailing address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
(601) 859-9477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
903119
MS
363LF0000X
Family Nurse Practitioner
Primary
903119
MS
Other
Enumeration date
01/23/2019
Last updated
02/04/2019
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