NPI 1033659958
Shalisa Gaines
Practice location
- Address
- 608 Highway 80 E # C, Clinton, MS 39056-5104
- Phone
- (769) 218-0292
- Fax
- (601) 473-2429
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1033659958
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Feb 2017
- Record last updated
- 24 Feb 2017
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.