ELIZABETH MCTAGGART DIMINO

COLUMBUS, MS
NPI1407376254
Former NameELIZABETH ROSE MCTAGGART
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: MS  901954)
Enumeration Date2017-06-22
Last Update Date2018-03-17
Business Address
ELIZABETH MCTAGGART DIMINO NP
255 BAPTIST BLVD STE 301
COLUMBUS, MS 39705-2006
Phone number: 662-244-2550
Mailing Address
ELIZABETH MCTAGGART DIMINO NP
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number: