DONNA WEDGEWORTH

FOREST, MS
NPI1952865214
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R867812)
Enumeration Date2019-01-30
Last Update Date2019-01-30
Business Address
DONNA WEDGEWORTH
1 MEDICAL LN STE B
FOREST, MS 39074-4039
Phone number: 601-469-4861
Mailing Address
DONNA WEDGEWORTH
1 MEDICAL LN STE B
FOREST, MS 39074-4039
Phone number: 601-469-4861
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