ADDIE PARKS HERROD

CANTON, MS
NPI1689769796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R715247)
Enumeration Date2006-10-04
Last Update Date2016-05-25
Business Address
Mrs. ADDIE PARKS HERROD CFNP
1668 W PEACE ST
CANTON, MS 39046-5332
Phone number: 601-859-5213
Mailing Address
Mrs. ADDIE PARKS HERROD CFNP
PO BOX 588
CANTON, MS 39046-0588
Phone number: 601-859-5213