TIMOTHY M. SOUTH

KOSCIUSKO, MS
NPI1376506741
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R701483)
Enumeration Date2006-04-07
Last Update Date2012-10-01
Business Address
Mr. TIMOTHY M. SOUTH FNP
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090-3209
Phone number: 662-289-1800
Mailing Address
Mr. TIMOTHY M. SOUTH FNP
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090-3209
Phone number: 662-289-1800
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