PHYLLIS G KOONCE
Ambulatory Health at County Road 714, Blue Mount, MS

License number
Mississippi R125960
Category
Ambulatory Health
Type
Rural Health
Owner
Name: MRS. PHYLLIS G KOONCE CFNP
Title: OWNER SOLE PROVIDER
Phone: (662) 538-4111
Address
Address
100 County Road 714, Blue Mount, MS 38610
National Provider ID: 1891911186
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Ambulatory Health licenses in Mississippi