AIRSTON LOUISE SMALL

GREENVILLE, MS
NPI1780302935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  905497)
Enumeration Date2022-08-15
Last Update Date2023-02-01
Business Address
AIRSTON LOUISE SMALL FNP
1907 LISA DRIVE EXT
GREENVILLE, MS 38703-4429
Phone number: 662-335-3252
Mailing Address
AIRSTON LOUISE SMALL FNP
216 E PRESIDENT AVE
GREENWOOD, MS 38930-3516
Phone number: 662-897-5070
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