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Starkville Internal Medicine Clinic

Internal Medicine in Starkville, MS. Organization (NPI-2).

NPI number1619084613
StatusActive
Last updated in NPPESJan 15, 2015

Details

NPI
1619084613
Entity type
Organization (NPI-2)
Legal business name
Starkville Internal Medicine Clinic
Organization subpart
No
Enumeration date
Aug 24, 2006
Last updated
Jan 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207RG0100X Internal Medicine, Gastroenterology––

Practice location

107 Brandon Rd
Starkville, MS 39759-2521

Phone 662-324-1291 · Fax 662-324-2196

Mailing address

107 Brandon Rd
Starkville, MS 39759-2521

Phone 662-324-1291 · Fax 662-324-2196

Authorized official

Benjamin F. Sanford
President
6623241291

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