SUPERIOR SOLES

Nurse Practitioner

NPI: 1104466887Organization

Specialties, Licenses & Credentials

Clinic/Center

Code: 261Q00000X

Primary Care Clinic/Center

Clinic/Center — Primary Care

Code: 261QP2300X

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

Contact & Hours

Address: 1888 MAIN ST
MADISON, MS 39110
Phone: (601) 503-0335

Quick Facts

NPI: 1104466887
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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