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Madison Pena, PTA
NPI 1255006037 · on the registry since 2021 · sole proprietor
Practice
- Address
- 7580 Clarington Cv
Southaven, MS 38671 - Phone
- (901) 259-1600
- Fax
- (901) 259-1698
- Organisation at this address
- Msk Group Pc
Msk Group, Pc
Lee Grimm, M.D., P.C.
Michael E Foster Md Pc
Desoto Surgery Clinic LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 484 Church Rd E, Southaven, MS
- 421 E Commerce St, Hernando, MS
- 287 Highway 6 W, Batesville, MS
- 1201 Office Park Dr, Oxford, MS
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-14
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