SUPERIOR SOLES
Organization (NPI-2)
Active
Nurse Practitioner
Provider Information
- NPI Number
1104466887- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1888 MAIN ST, MADISON, MS, 39110
- Phone
- (601) 503-0335
Specialties & Taxonomies
Clinic/Center
Clinic/Center, Primary Care
Nurse Practitioner
Primary