TRACI DAVIS SUBER

HATTIESBURG, MS
NPI1962628966
Other NameTRACI DAVIS SPEIGHTS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: MS  R814179)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MS  814179)
Enumeration Date2007-04-18
Last Update Date2020-08-11
Business Address
TRACI DAVIS SUBER WHNP
421 S 28TH AVE STE 200
HATTIESBURG, MS 39401-7208
Phone number: 601-268-5640
Mailing Address
TRACI DAVIS SUBER WHNP
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-268-5640