Starkville Internal Medicine Clinic | |
107 Brandon Rd Starkville MS 39759-2521 | |
(662) 324-1291 | |
(662) 324-2196 |
Full Name | Starkville Internal Medicine Clinic |
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Speciality | Internal Medicine |
Location | 107 Brandon Rd, Starkville, Mississippi |
Authorized Official Name and Position | Benjamin F. Sanford (PRESIDENT) |
Authorized Official Contact | 6623241291 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Starkville Internal Medicine Clinic 107 Brandon Rd Starkville MS 39759-2521 Ph: (662) 324-1291 | Starkville Internal Medicine Clinic 107 Brandon Rd Starkville MS 39759-2521 Ph: (662) 324-1291 |
NPI Number | 1619084613 |
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Provider Enumeration Date | 08/24/2006 |
Last Update Date | 01/15/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619084613 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Secondary |
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