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POONAM BAI MD

Individual Provider (NPI-1) Active

Student in an Organized Health Care Education/Training Program

Provider Information

NPI Number
1982396750
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
830 S GLOSTER ST, TUPELO, MS, 388014934
Phone
(662) 377-6652

Specialties & Taxonomies

Student in an Organized Health Care Education/Training Program Primary

All Addresses

MAILING

141 MILL POND XING UNIT I1

CARROLLTON, GA, 301161228

(929) 990-1293

LOCATION

830 S GLOSTER ST

TUPELO, MS, 388014934

(662) 377-6652