Whalio Doctors

NPI 1770081788

Mary Barrack Biddy, PAC

Practitioner Surgical Physician Assistant Canton, MS

Practice location

Address
103 Keating Cir, Canton, MS 39046-4561
Phone
(985) 705-3754
Fax
(985) 705-3754
Mailing address
778 Liberty Rd, Flowood, MS 39232-9300

Registered specialties (2)

Surgical Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 3545 (TN)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 3545 (TN)

Registry record

NPI
1770081788
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jan 2018
Record last updated
6 Mar 2023

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.