KENTRELL MARIE LIDDELL

JACKSON, MS
NPI1659384063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  17997)
Enumeration Date2006-08-15
Last Update Date2013-04-09
Business Address
Dr. KENTRELL MARIE LIDDELL M.D.
2104 THOUSAND OAKS DR
JACKSON, MS 39212-2048
Phone number: 601-346-7450
Mailing Address
Dr. KENTRELL MARIE LIDDELL M.D.
2104 THOUSAND OAKS DR
JACKSON, MS 39212-2048
Phone number: 601-346-7450