IndividualActive
Samantha Ayers
NPI 1003505843 · Point of Service · Southaven, MS
Provider details
- NPI number
- 1003505843
- Entity type
- Individual
- Primary specialty
- Point of ServiceManaged Care Organizations
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Managed Care Organizations
Practice location
1120 Main St
Southaven, MS 38671-1428
Phone: (901) 846-3092
Approximate (ZIP-level) locationGet directions
Mailing address
4904 Richard Place Cv
Horn Lake, MS 38637-9601
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2023-05-08
- Certified
- 2023-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.