Teresa M South, Nurse Practitioner
Nurse Practitioner, Family in Iuka, MS. Individual provider (NPI-1).
NPI number1649429481
StatusActive
Last updated in NPPESSep 17, 2008
Details
- NPI
- 1649429481
- Entity type
- Individual (NPI-1)
- Name
- Teresa M South
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2008
- Last updated
- Sep 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R782537 | MS | Yes |
Practice location
1507 W Quitman StIuka, MS 38852-1132
Phone 662-423-1000 · Fax 662-423-1906
Mailing address
1507 W Quitman StIuka, MS 38852-1132
Phone 662-423-1000 · Fax 662-423-1906
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