Mom 2 Be, LLC
NPI #1952783078 in Columbus, Mississippi
Provider Information
- NPI Number
- 1952783078
- Entity Type
- Organization
- Organization Name
- Mom 2 Be, LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 25, 2015
- Last Updated
- Jun 25, 2015
Practice Location
- Address
- 449 WILKINS WISE RD
- City
- Columbus
- State
- Mississippi
- ZIP Code
- 39705-1756
- Phone
- (662) 570-4991
Authorized Official
- Name
- DR. PAMELA RENEE LACY, M.D.
- Title
- OWNER
- Phone
- (662) 570-4991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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