Samuel Mcduffie, | |
1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | |
(662) 680-5216 | |
(662) 680-5217 |
Full Name | Samuel Mcduffie |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1743 Cliff Gookin Blvd, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639325392 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT4385 (Mississippi) | Primary |
Provider Name | Outpatient Rehabilitation Center Of Fulton Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1669538823 PECOS PAC ID: 2860567948 Enrollment ID: O20140131001518 |
Mailing Address | Practice Location Address |
---|---|
Samuel Mcduffie, 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 Ph: (662) 680-5216 | Samuel Mcduffie, 1743 Cliff Gookin Blvd, Tupelo, MS 38801-6723 Ph: (662) 680-5216 |
Tupelo Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1743 Cliff Gookin Blvd, Tupelo, MS 38801 Phone: 662-680-5216 | |
Molly Bryan Davis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 154 Merritt Dr, Tupelo, MS 38801 Phone: 785-826-6134 | |
John Everett, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4058 | |
Jennifer L Rodabough, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2089 Southridge Dr, Tupelo, MS 38801 Phone: 662-407-0801 Fax: 662-407-0807 | |
Lisa Ross, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100 | |
Mr. Mark Chapin Bresee, MPT, OCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 600 Air Park Rd, Tupelo, MS 38801 Phone: 662-842-2100 Fax: 662-842-2105 | |
Michael Scott Childers, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1211 S Gloster St Ste C, Tupelo, MS 38801 Phone: 662-432-1523 Fax: 662-432-1528 |