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Organization
L.C. TENNIN, JR M.D., P.A.
Active
Organization
L.C. TENNIN, JR M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LC TENNIN JR. (ADMINISTRATIVE PRESIDENT)
(601) 214-5998
Entity
Organization
Contact information
Practice address
122 E ACADEMY ST, CANTON, MS 39046-4502
(601) 859-8992
(601) 859-5573
Mailing address
PO BOX 647, CANTON, MS 39046-0647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/17/2009
Last updated
04/27/2019
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