SHANE WHITESIDE

Peer Specialist

Active Individual
NPI: 1174174502

Practice Address

152 HIGHWAY 7 S
Oxford, MS 38655

Phone: (662) 234-7521

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1174174502 is the National Provider Identifier for SHANE WHITESIDE, a Peer Specialist provider located in Oxford, MS. This NPI was enumerated on September 26, 2019.
SHANE WHITESIDE practices at 152 HIGHWAY 7 S, Oxford, MS 38655.

Quick Facts

NPI
1174174502
Type
Individual
Enumerated
Sep 26, 2019
Last Updated
Sep 26, 2019

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