| Perry Sanderford Pllc | |
|
1578 Highway 471 Brandon MS 39042-7511 | |
| (601) 506-3217 | |
| Not Available |
| Full Name | Perry Sanderford Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1578 Highway 471, Brandon, Mississippi |
| Authorized Official Name and Position | Carl Perry Sanderford (OWNER) |
| Authorized Official Contact | 6015063217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perry Sanderford Pllc 1578 Highway 471 Brandon MS 39042-7511 Ph: (601) 506-3217 | Perry Sanderford Pllc 1578 Highway 471 Brandon MS 39042-7511 Ph: (601) 506-3217 |
| NPI Number | 1376267872 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376267872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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