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MRS. TARA S PRICE NP

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Obstetrics & Gynecology

Provider NPI: 1437178589

Provider Information:
MRS. TARA S PRICE NP
Gender: F
Not Sole Proprietor

Practice Location:
1318 HARRISON AVE  MCCOMB, MS 39648-2830 US
Tel: 601-684-2300  Fax: 601-684-2360

Business Mailing Address:
PO BOX 1268  MCCOMB, MS 39649-1268 US
Tel: 601-684-2300  Fax: 601-684-2360

NPI Information:
NPI: 1437178589
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LX0001XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Obstetrics & Gynecology
MSR863839

Other Provider Identifiers:

IssuerNumberStateType
04178340MS05



American Medical Association 2012 taxonomy code information

Code: 363LX0001X

Type:

Classification:



Definition:



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