Mary Gwindolyn Allen

NPI #1053044685 in Potts Camp, Mississippi

Provider Information

NPI Number: 1053044685
Entity Type: Individual
Name: Mary Gwindolyn Allen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 1, 2022
Last Updated: Jul 1, 2022

Practice Location

Address: 130 E SAINT MARY AVE
City: Potts Camp
State: Mississippi
ZIP Code: 38659-4400
Phone: (662) 544-1834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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