SearchMississippi163WG0000X

Bettina Mcgruder

NPI 1164295929 · on the registry since 2023

Practice

Address
110 Hastings Ave
Brandon, MS 39042
Phone
(573) 842-8891

Registry record

Primary taxonomy
163WG0000X
163WG0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-03

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