Carolyn Wong
NPI #1023432549 in Olive Branch, Mississippi
Provider Information
- NPI Number
- 1023432549
- Entity Type
- Individual
- Name
- Carolyn Wong
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Neonatal
- Enumeration Date
- Feb 5, 2014
- Last Updated
- Mar 12, 2014
Practice Location
- Address
- 4064 SIDLEHILL DR
- City
- Olive Branch
- State
- Mississippi
- ZIP Code
- 38654-6146
- Phone
- (601) 842-9006
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Neonatal — Neonatal |
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