Alice Crosby
Driver in Sumrall, MS. Individual provider (NPI-1).
NPI number1982309217
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1982309217
- Entity type
- Individual (NPI-1)
- Name
- Alice Crosby
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2023
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | – | MS | Yes |
Practice location
4833 Highway 589Sumrall, MS 39482-3954
Phone 346-577-0065
Mailing address
Po Box 846Sumrall, MS 39482-0846
Phone 346-577-0065
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