person
Makala Marie Bascome, DO
General Practice Physician in Meridian, Mississippi
NPI 1508487760

Makala Marie Bascome is a General Practice Physician based in Meridian, MS. Makala Marie Bascome practices in Meridian, MS and has the professional credentials of DO. The NPI Number for Makala Marie Bascome is 1508487760 and holds a License No. 0102206849 (Mississippi).

The current practice location address for Makala Marie Bascome is 1801 Fuller Rd # 367, Meridian, MS and can be reached out via phone at 601-679-3968. You can also correspond with Makala Marie Bascome through the mailing address at 1801 FULLER RD BLDG 367, MERIDIAN, MS - 39309-5106 (mailing address contact number: 601-679-3968).

Location: 1801 Fuller Rd # 367, Meridian, MS, 39309-5106
person
Provider Profile Details
NPI Number
1508487760
Provider Name
Makala Marie Bascome
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1801 Fuller Rd # 367, Meridian, MS, 39309-5106
Phone Number
601-679-3968
Fax Number
Provider Enumeration Date
04/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1801 Fuller Rd # 367
City
State
Zip
39309-0004
Phone Number
601-679-3968
Fax Number
person
Provider Business Mailing Address Details
Address
1801 Fuller Rd # 367
City
State
Zip
39309-0004
Phone Number
601-679-3968
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
0102206849 (Virginia)
Definition
Definition to come...
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