Search › Mississippi › 104100000X
Mamie Waites
NPI 1992578538 · on the registry since 2023
Practice
- Address
- 440 Holly Hedge Dr
Madison, MS 39110 - Phone
- (601) 521-2392
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 104100000X
- Licence states on file
- TX, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-11-06
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