Organization · Type 2 NPI
Southeast Urology Network
Specialist · Holly Springs, MS
NPI number
1801938634
Active
Practice location
538 J M Ash Dr
Holly Springs, MS 38635-3238
Fax (662) 349-4414
Mailing address
PO Box 756
Memphis, TN 38101-0756
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4 other providers at this address
- Joseph James Diaz, MDFamily Medicine Physician Holly Springs, MS NPI 1760512099
- Nancy C. Boatwright, FNPNurse Practitioner Holly Springs, MS NPI 1437230679
- Richard Goodman Wiseman, FNPFamily Nurse Practitioner Holly Springs, MS NPI 1871690263
- Stephanie M. Hardin, FNPNurse Practitioner Holly Springs, MS NPI 1144319252
About NPI 1801938634
Southeast Urology Network's National Provider Identifier is 1801938634, issued on Feb 12, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Holly Springs, MS. The record was last updated on Aug 22, 2020.