NPI 1003505843

Samantha Ayers

Practitioner Point of Service Southaven, MS

Practice location

Address: 1120 Main St, Southaven, MS 38671-1428
Phone: (901) 846-3092
Mailing address: 4904 Richard Place Cv, Horn Lake, MS 38637-9601

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1003505843
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2023
Record last updated: 8 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.