SHANA SHATEKA MANGUM HOLLOMAN

JACKSON, MS
NPI1821409269
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MS  916-L)
Enumeration Date2014-05-19
Last Update Date2014-07-09
Business Address
SHANA SHATEKA MANGUM HOLLOMAN MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6925
Mailing Address
SHANA SHATEKA MANGUM HOLLOMAN MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6925