DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAWANDA NECHELLA AGNEW, MD

Active

SHAWANDA NECHELLA AGNEW, MD is a Family Medicine healthcare provider located in SOUTHAVEN, Mississippi. NPI 1790197416 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SOUTHAVEN, MS

Registration Details

NPI Number
1790197416
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2014 (12.177125623917 yrs)
Last Updated
Mar 22, 2024
Licenses
61110 (TN)
L.4005R (AL)
24203 (MS)

Practice Information

Address
7736 AIRWAYS BLVD
SOUTHAVEN, MS, 386715306
Browse MS providers · Browse ZIP 38671
Phone
6627725222
Fax
6627725957
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
Additional Specialty
Family Medicine

Other Family Medicine Providers in SOUTHAVEN, MS

Name Credential NPI
JULIE J CARPENTER MD 1497757520
ROBERT L SKINNER DO 1558363689
TROY DALE MORRIS M.D. 1891792883
ANTRONETTE LAURA MCKENZIE M.D. 1336146315
WALTER EARL CARNAHAN DO 1174501449
DR. STEVEN DAVID MAJOR MD 1427088814
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.