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

MR. ANNIE DELORIS PATRICK

Active Sole Proprietor

MR. ANNIE DELORIS PATRICK is a Van Provider healthcare provider located in PICAYUNE, Mississippi. NPI 1831436955 is currently active in the NPPES registry. Verify at CMS.

Van Provider · PICAYUNE, MS

Registration Details

NPI Number
1831436955
Provider Type
Individual
Gender
Female
NPI Issued
Jan 9, 2013 (13.591628200696 yrs)
Last Updated
Jan 9, 2013
Sole Proprietor
Yes

Practice Information

Address
102 KENDRA LN
PICAYUNE, MS, 394664527
Browse MS providers · Browse ZIP 39466
Phone
6017495436
Primary Specialty
Van Provider
344600000X
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.