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South Pike
School Registered Nurse in Osyka, Mississippi
NPI 1770705170

South Pike is a School Registered Nurse based in Osyka, MS and is specialized in School. South Pike practices in Osyka, MS. The NPI Number for South Pike is 1770705170 and holds a License No. R868937 (Mississippi).

The current practice location address for South Pike is 444 Amite Street, Osyka, MS and can be reached out via phone at 601-542-3354.

Location: 444 Amite Street, Osyka, MS, 39657
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770705170
Provider Name
South Pike
Credential
Provider Entity Type
Organization
Address
444 Amite Street, Osyka, MS, 39657
Phone Number
601-542-3354
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
06787291 05 MS
institution
Provider Business Practice Location Address Details
Address
444 Amite Street
City
Osyka
State
Mississippi
Zip
39657
Phone Number
601-542-3354
Fax Number
person
Provider Business Mailing Address Details
Address
444 Amite Street
City
Osyka
State
Mississippi
Zip
39657
Phone Number
601-542-3354
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
School
Taxonomy
163WS0200X
License No.
R868937 (Mississippi)
Definition
Definition to come...
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