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Patricia Weathersby, MD
Specialist in Greenwood, Mississippi
NPI 1013905272

Patricia Weathersby is a Specialist based in Greenwood, MS. Patricia Weathersby practices in Greenwood, MS and has the professional credentials of MD. The NPI Number for Patricia Weathersby is 1013905272 and holds a License No. 08062 (Mississippi).

The current practice location address for Patricia Weathersby is 202 W Park Ave, Greenwood, MS and can be reached out via phone at 662-453-0646 and via fax at 662-455-6842.

Location: 202 W Park Ave, Greenwood, MS, 38930-3009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013905272
Provider Name
Patricia Weathersby
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
202 W Park Ave, Greenwood, MS, 38930-3009
Phone Number
662-453-0646
Fax Number
662-455-6842
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00122953 05 MS
institution
Provider Business Practice Location Address Details
Address
202 W Park Ave
City
Greenwood
State
Mississippi
Zip
38930-3009
Phone Number
662-453-0646
Fax Number
662-455-6842
person
Provider Business Mailing Address Details
Address
202 W Park Ave
City
Greenwood
State
Mississippi
Zip
38930-3009
Phone Number
662-453-0646
Fax Number
662-455-6842
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
08062 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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