Dr Stephen D Sudderth, MD | |
188 Ymca Pl, Vicksburg, MS 39183-3536 | |
(601) 636-7222 | |
(601) 636-0440 |
Full Name | Dr Stephen D Sudderth |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 188 Ymca Pl, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528096849 | NPI | - | NPPES |
00126115 | Medicaid | MS | |
1986712 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 17597 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen D Sudderth, MD 188 Ymca Pl, Vicksburg, MS 39183-3536 Ph: (601) 636-7222 | Dr Stephen D Sudderth, MD 188 Ymca Pl, Vicksburg, MS 39183-3536 Ph: (601) 636-7222 |
Joshua M. Holifield, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 Fax: 601-883-7803 | |
Eugene B Ferris, MD Surgery Medicare: Medicare Enrolled Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 | |
Henry M Jarmon, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2100 Highway 61 N, Vicksburg, MS 39183 Phone: 601-883-5000 |