LIBBY DOVE CARRUTH

PONTOTOC, MS
NPI1144978982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  904762)
Enumeration Date2022-03-11
Last Update Date2024-03-29
Business Address
LIBBY DOVE CARRUTH APRN
353 HIGHWAY 15 N
PONTOTOC, MS 38863-1103
Phone number: 662-490-1985
Mailing Address
LIBBY DOVE CARRUTH APRN
117 S 2ND ST
AUGUSTA, AR 72006-2309
Phone number: 870-347-2534