SearchMississippi101YM0800X

Miraculas Clemons

NPI 1255197927 · on the registry since 2024

Practice

Address
102 Brickerton St
Columbus, MS 39701
Phone
(662) 570-1109
Organisation at this address
Wallace Brain And Spine, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-21

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