Search › Mississippi › 251E00000X
Twanna Wallace
NPI 1376028712 · on the registry since 2018 · sole proprietor
Practice
- Address
- 321 Jackson St
Hazlehurst, MS 39083 - Phone
- (601) 500-0027
- Fax
- (601) 277-4039
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-10-02
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