NPI 1265045496

Dora L Chism

Practitioner Health Educator Byram, MS

Practice location

Address: 425 Fairway Ave, Byram, MS 39272-5527
Phone: (601) 815-5658

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1265045496
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2020
Record last updated: 27 Aug 2020

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.