SearchMississippi2255A2300X

Carole Rider

NPI 1700282860 · on the registry since 2014

Practice

Address
418 W Minnesota St
Brookhaven, MS 39601
Phone
(601) 669-1995

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-17

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