Shane Lee Whiteside
NPI #1174174502 in Oxford, Mississippi
Provider Information
- NPI Number
- 1174174502
- Entity Type
- Individual
- Name
- Shane Lee Whiteside
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Sep 26, 2019
- Last Updated
- Sep 26, 2019
Practice Location
- Address
- 152 HIGHWAY 7 S
- City
- Oxford
- State
- Mississippi
- ZIP Code
- 38655-5392
- Phone
- (662) 234-7521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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