NPI 1396174405

Tammie Parker

Practitioner Specialist Brandon, MS

Practice location

Address: 212 Lanoah Ln, Brandon, MS 39042-7897
Phone: (601) 209-9490

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 12529 (MS)

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Registry record

NPI: 1396174405
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2013
Record last updated: 8 Nov 2013

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.