Provider Demographics
NPI:1215662887
Name:NELMS, MARGAUX ANTOINE (AUD)
Entity type:Individual
Prefix:DR
First Name:MARGAUX
Middle Name:ANTOINE
Last Name:NELMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 PARK PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-2102
Mailing Address - Country:US
Mailing Address - Phone:601-982-0611
Mailing Address - Fax:
Practice Address - Street 1:138 PARK PLACE BLVD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-2102
Practice Address - Country:US
Practice Address - Phone:601-982-0611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSA-4682231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist