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Madison Bohannon
NPI 1457198806 · on the registry since 2024
Practice
- Address
- 433 Main St
Leakesville, MS 39451 - Phone
- (601) 394-4545
- Fax
- (601) 394-4546
- Organisation at this address
- Encore Rehabilitation Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 5136 Main St, Lucedale, MS
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-12
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