Stephen D Sudderth in Vicksburg - Surgery
Stephen D Sudderth - NPI 1528096849
Stephen D Sudderth is a Surgery in Vicksburg, Mississippi. Stephen D Sudderth practices all healthcare services and medical treatments related to Surgery. The NPI Number for Stephen D Sudderth is 1528096849. The last update date is 2014-02-21.
Stephen D Sudderth's current location address is 188 Ymca Pl, Vicksburg, Mississippi. You can contact this provider via phone number 6016367222 and fax number 6016360440. The mailing address for Stephen D Sudderth is 188 Ymca Pl, Vicksburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen D Sudderth |
|---|---|
| Address | 188 Ymca Pl, Vicksburg, Mississippi |
| Phone Number | 6016367222 |
| Fax Number | 6016360440 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528096849 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2014-02-21 |
Provider Mailing Address Detail
| Address | 188 Ymca Pl |
|---|---|
| City | Vicksburg |
| State | Mississippi (MS) |
| Post Code | 391833536 |
| Phone Number | 6016367222 |
| Fax Number | 6016360440 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 17597 |
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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 |
|---|---|---|---|
| 126115 | MS | -- | |
| 1986712 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stephen D Sudderth by the Centers for Medicare & Medicaid Services?
The Stephen D Sudderth has been issued the NPI (National Provider Identifier) 1528096849 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Stephen D Sudderth's facilities are situated?
The facilities of Stephen D Sudderth are physically located at the following address: 188 Ymca Pl, Vicksburg, MS, 391833536.
What is Stephen D Sudderth's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephen D Sudderth is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
When did Stephen D Sudderth receive its 1528096849 assignment?
The Stephen D Sudderth was assigned its 1528096849 on 2006-06-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Stephen D Sudderth last refreshed?
The information related to the Stephen D Sudderth, including its address, specialty, and other relevant details, was last updated on 2014-02-21.