NPI 1548446065
Crystal South, RN
Practice location
- Address
- 1213 Maria Ln, Iuka, MS 38852-1135
- Phone
- (662) 423-3332
- Fax
- (662) 286-8095
- Mailing address
- PO Box 839, Corinth, MS 38835-0839
Registered specialties
Psychiatric/Mental Health Registered Nurse
Primary
Registry record
- NPI
- 1548446065
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Jan 2008
- Record last updated
- 15 Jan 2008
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.