SearchMississippi3747P1801X

Virginia Fagan

NPI 1568188100 · on the registry since 2022 · sole proprietor

Practice

Address
29 Rester Rd
Perkinston, MS 39573
Phone
(228) 343-3105

Registry record

Primary taxonomy
3747P1801X
3747P1801X
Also registered as
372600000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-20

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