Provider Demographics
NPI:1073159414
Name:MCBOUNDS, DAWN
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:MCBOUNDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 WOODS RD
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MS
Mailing Address - Zip Code:39051-8651
Mailing Address - Country:US
Mailing Address - Phone:601-900-9002
Mailing Address - Fax:601-298-0029
Practice Address - Street 1:729 WOODS RD
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MS
Practice Address - Zip Code:39051-8651
Practice Address - Country:US
Practice Address - Phone:601-900-9002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-20
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty