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Mason Ross Anderson
Student in an Organized Health Care Education/Training Program in Purvis, Mississippi
NPI 1922724400

Mason Ross Anderson is a Student in an Organized Health Care Education/Training Program based in Purvis, MS. Mason Ross Anderson practices in Purvis, MS. The NPI Number for Mason Ross Anderson is 1922724400 and holds a License No. (Mississippi).

The current practice location address for Mason Ross Anderson is 29 Lookout Tower Rd, Purvis, MS and can be reached out via phone at 601-818-7725.

Location: 29 Lookout Tower Rd, Purvis, MS, 39475-5311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922724400
Provider Name
Mason Ross Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
29 Lookout Tower Rd, Purvis, MS, 39475-5311
Phone Number
601-818-7725
Fax Number
Provider Enumeration Date
10/17/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
29 Lookout Tower Rd
City
Purvis
State
Mississippi
Zip
39475-5311
Phone Number
601-818-7725
Fax Number
person
Provider Business Mailing Address Details
Address
29 Lookout Tower Rd
City
Purvis
State
Mississippi
Zip
39475-5311
Phone Number
601-818-7725
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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