NPI 1225841406

Deshaun Groves

Practitioner Private Vehicle Carthage, MS

Practice location

Address: 211 S Valley St STE B, Carthage, MS 39051-4047
Phone: (601) 504-1620
Mailing address: 422 Wiggins Loop Rd STE C, Carthage, MS 39051-9795

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X

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Registry record

NPI: 1225841406
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2025
Record last updated: 30 Jan 2025

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.