Henry Manley Wadsworth JR. M. D.

NPI 1093742538 - Family Medicine - 207Q00000X

NPI Details
NPI 1093742538
Gender Male
Enumeration Date 06/28/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2240 HIGHWAY 51 S
HERNANDO MS, 38632-1737, US
Phone (662) 429-5231
Fax (662) 429-4922
Business Location
2240 HIGHWAY 51 S
HERNANDO MS, 38632-1737, US
Phone (662) 429-5231
Fax (662) 429-4922
Toxanomy
Taxonomy Code 207Q00000X
License State Mississippi
License Number 4751
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According to our database, Dr. Henry Manley Wadsworth JR. M. D. NPI is 1093742538, taxonomy code is 207Q00000X and license number is 4751, license state is located at Mississippi. Henry Manley Wadsworth JR. M. D. physically located at 2240 Highway 51 S, Hernando MS, 38632-1737. NPI Number Henry Manley Wadsworth JR. M. D. has the Individual type.

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1093742538 NPI number is provided on an as is basis without warranty of any kind. 1093742538 is maintained by the National Plan & Provider Enumeration System. The contents of Henry Manley Wadsworth JR. M. D. are for informational purposes only.