MEAGAN DUVAL CHASTANT-QUALLS

SOUTHAVEN, MS
NPI1215554647
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  CHAS-Q9QY9E)
Enumeration Date2020-07-01
Last Update Date2020-10-13
Business Address
MEAGAN DUVAL CHASTANT-QUALLS FNP
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671-9227
Phone number: 662-349-0980
Mailing Address
MEAGAN DUVAL CHASTANT-QUALLS FNP
7651 TCHULAHOMA RD
SOUTHAVEN, MS 38671-9227
Phone number: 662-349-0980