Nabors, Deanna

Nabors, Deanna is an individual health care provider with primary practice located at 3451 Goodman Rd E Ste 115 , Southaven MS 38672-9304. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nabors, Deanna can be contacted via phone (662) 890-5555.

Contact Information

Primary practice address
3451 Goodman Rd E Ste 115 Southaven MS 38672-9304
Fax: (662) 890-8899
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18687 Mississippi

Profile Details

NPI number 1619939204
LBN Legal business name Nabors, Deanna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Mar 29th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619939204 NPPES
Mississippi MEDICAID 03037321

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