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Chandra Dewberry
NPI 1265958854 · on the registry since 2017 · sole proprietor
Practice
- Address
- 74 Burketts Creek Dr
Hattiesburg, MS 39401 - Phone
- (773) 449-0769
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 101YP1600X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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