Off Main Street Medical Pllc
NPI #1023408614 in Taylorsville, Mississippi
Provider Information
- NPI Number
- 1023408614
- Entity Type
- Organization
- Organization Name
- Off Main Street Medical Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 3, 2015
- Last Updated
- Jul 29, 2021
Practice Location
- Address
- 336 EUREKA STREET
- City
- Taylorsville
- State
- Mississippi
- ZIP Code
- 39168-0291
- Phone
- (601) 785-4322
Authorized Official
- Name
- SHARON L SCRUGGS, CFNP
- Title
- OWNER
- Phone
- (601) 785-4322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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