NPI | 1013525187 |
---|---|
Doing Business As | KERSHAW PRIMARY CARE AND WEIGHT LOSS |
Entity Type | Organization |
Authorized Contact | VALARIE KERSHAW-BERRY Over/Nurse Practitioner 662-902-9883 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Enumeration Date | 2020-07-15 |
Last Update Date | 2021-02-25 |