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Primary Practice Address
1668 W PEACE ST
CANTON, MS 39046-5332 US
PECOS Enrolled

Addie Parks Herrod

Nurse Practitioner (Family)


Addie Parks Herrod

Overview

Addie Parks Herrod is a Nurse Practitioner (Family) in the CANTON area. Addie Parks Herrod primary office location is at 1668 W PEACE ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1689769796 and the information was updated approximately 9 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1668 W PEACE ST
CANTON, MS 39046-5332 US
Phone: (601)-859-5213
Fax:
Practice Mailing Information
PO BOX 588
CANTON, MS 39046-5332 US
Phone: (601)-859-5213
Fax: (601)-859-8771
License NumberState
R715247MS