Mommieandme3D4D

Organization Active NPI Diagnostic Ultrasound Physician · Nesbit, MS

NPI 1639869092 · NPPES record last updated May 10, 2023

Key facts

NPI
1639869092
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Ultrasound Physician 2085U0001X
Legal business name
MOMMIEANDME3D4D
Practice address
2733 Flora Lee Dr S
Nesbit, MS 38651-7008
Phone
(213) 359-8993
NPI assigned
May 10, 2023
Organization subpart
No

Authorized official

Name
Shadell N Cater, RDMS, RVT
Title
Diagnostic Medical Sonographer
Phone
(213) 359-8993

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2085U0001X Yes

Addresses

Primary practice location

2733 Flora Lee Dr S
Nesbit, MS 38651-7008

Mailing address

2733 Flora Lee Dr S
Nesbit, MS 38651-7008
Phone (213) 359-8993

Other providers in Nesbit, MS

All providers in Nesbit, MS · Diagnostic Ultrasound Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.