Whalio Doctors

NPI 1093111775

Becquelyn Green

Practitioner Local Education Agency (LEA) Clinton, MS

Practice location

Address
104 Elgin Pl, Clinton, MS 39056-3946
Phone
(601) 966-3238

Registered specialties (2)

Local Education Agency (LEA) Primary
Agencies Taxonomy 251300000X
Specialist
Other Service Providers Taxonomy 174400000X

Registry record

NPI
1093111775
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Nov 2014
Record last updated
7 Nov 2014

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.