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Organization
STARKVILLE FAMILY PRACTICE PA
Active
Organization
STARKVILLE FAMILY PRACTICE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DREW ANTHONY M.D. (PRESIDENT)
(662) 323-1212
Entity
Organization
Contact information
Practice address
100 BRANDON RD, SUITE 5, STARKVILLE, MS 39759-2571
(662) 323-1212
Mailing address
2478 PIKE RD, STARKVILLE, MS 39759-7900
(662) 323-1212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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