SearchMississippi224Z00000X

Erica Gregore

NPI 1760833263 · on the registry since 2016 · sole proprietor

Practice

Address
309 S 16th Ave
Hattiesburg, MS 39401
Phone
(228) 297-7450

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-06-26

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