Alliance Healthcare System
NPI #1609973056 in Holly Springs, Mississippi
Provider Information
- NPI Number
- 1609973056
- Entity Type
- Organization
- Organization Name
- Alliance Healthcare System
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 538 J. M. ASH RD.
- City
- Holly Springs
- State
- Mississippi
- ZIP Code
- 38635-3238
- Phone
- (662) 252-1599
Authorized Official
- Name
- MR. RICHARD GOODMAN WISEMAN, FNP
- Title
- EMPLOYEE
- Phone
- (662) 252-1599
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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