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

MS. BEVERLY JEAN MALM, IDC

Active Sole Proprietor

MS. BEVERLY JEAN MALM, IDC is a Independent Duty Corpsman healthcare provider located in DIAMONDHEAD, Mississippi. NPI 1831395540 is currently active in the NPPES registry. Verify at CMS.

Independent Duty Corpsman · DIAMONDHEAD, MS

Registration Details

NPI Number
1831395540
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2007 (19.109616169762 yrs)
Last Updated
Jul 15, 2008
Sole Proprietor
Yes

Practice Information

Address
8816 MANOO ST
DIAMONDHEAD, MS, 395254221
Browse MS providers · Browse ZIP 39525
Phone
2282233763
Primary Specialty
Independent Duty Corpsman
1710I1002X

Other Independent Duty Corpsman Providers in DIAMONDHEAD, MS

Name Credential NPI
MICHAEL D HAGGERTY JR. IDC 1538367123
ROWDY PAMETICKY IDC 1043747553
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.