Vanderloo Family Medicine, Pllc | |
3000 Old Canton Rd Ste 240 Jackson MS 39216-4235 | |
(601) 228-5491 | |
(601) 429-9297 |
Full Name | Vanderloo Family Medicine, Pllc |
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Speciality | Family Medicine |
Location | 3000 Old Canton Rd Ste 240, Jackson, Mississippi |
Authorized Official Name and Position | John P.f.h. Vanderloo (OWNER) |
Authorized Official Contact | 6012285491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Vanderloo Family Medicine, Pllc 3000 Old Canton Rd Ste 240 Jackson MS 39216-4235 Ph: (601) 228-5491 | Vanderloo Family Medicine, Pllc 3000 Old Canton Rd Ste 240 Jackson MS 39216-4235 Ph: (601) 228-5491 |
NPI Number | 1235768755 |
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Provider Enumeration Date | 04/06/2020 |
Last Update Date | 04/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235768755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Vanessa L. Sandifer, M.d., Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 971 Lakeland Drive, Suite 450, Jackson, MS 39216 Phone: 601-948-5158 Fax: 601-949-6058 |