is a Surgery in Starkville, Mississippi. practices all healthcare services and medical treatments related to Surgery. The NPI Number for is 1487704375. The last update date is .
's current location address is 105 Doctors Park, Starkville, Mississippi. You can contact this provider via phone number 6623241310 and fax number 6623247148. The mailing address for is 105 Doctors Park, Starkville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 105 Doctors Park, Starkville, Mississippi |
| Phone Number | 6623241310 |
| Fax Number | 6623247148 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1487704375 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 105 Doctors Park |
|---|---|
| City | Starkville |
| State | Mississippi (MS) |
| Post Code | 397592174 |
| Phone Number | 6623241310 |
| Fax Number | 6623247148 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 16439 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121176 | MS | -- |
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