Allen, Mary Gwindolyn

Allen, Mary Gwindolyn is an individual health care provider with primary practice located at 130 E Saint Mary Ave , Potts Camp MS 38659-4400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Allen, Mary Gwindolyn can be contacted via phone (662) 544-1834.

Contact Information

Primary practice address
130 E Saint Mary Ave Potts Camp MS 38659-4400
Phone: (662) 544-1834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1053044685
LBN Legal business name Allen, Mary Gwindolyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2022
Last updated Jul 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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