MILTON LAVELL WOODALL

LAUREL, MS
NPI1013695097
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MS  906087)
Enumeration Date2023-07-10
Last Update Date2023-07-10
Business Address
MR. MILTON LAVELL WOODALL FNP-C
1706 W 12TH ST
LAUREL, MS 39440-2559
Phone number: 601-369-2028
Mailing Address
MR. MILTON LAVELL WOODALL FNP-C
1706 W 12TH ST
LAUREL, MS 39440-2559
Phone number: 601-369-2028