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Search › Mississippi › 363LP2300X

Mallory Boggs, A-GNP-C

NPI 1013543388 · on the registry since 2020

Practice

Address
159 Fountains Blvd Ste B
Madison, MS 39110
Phone
(601) 859-8200
Organisation at this address
Atticus Group Llc
Brick City Drugs, Llc
Brick City Compounding Llc
Fountains Infusion Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363LP2300X
363LP2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi