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Organization
MICHAEL A TODD MD PA
Active
Organization
MICHAEL A TODD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A TODD M.D. (SOLE PROPRIETOR)
(662) 538-2174
Entity
Organization
Contact information
Practice address
200 HWY 30 W, NEW ALBANY, MS 38652-3112
(662) 538-2174
(662) 538-2139
Mailing address
PO BOX 664, NEW ALBANY, MS 38652-0664
(662) 538-2174
(662) 538-2139
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
07937
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016755
—
MS
05
—
1508574
—
TN
01
—
415742199
BLUE CROSS
MS
01
—
DO1309
RAILROAD MEDICARE
—
Enumeration date
11/23/2005
Last updated
04/07/2009
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