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Organization
STARKVILLE INTERNAL MEDICINE CLINIC
Active
Organization
STARKVILLE INTERNAL MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN F. SANFORD JR. M.D. (PRESIDENT)
(662) 324-1291
Entity
Organization
Contact information
Practice address
107 BRANDON RD, STARKVILLE, MS 39759-2521
(662) 324-1291
(662) 324-2196
Mailing address
107 BRANDON RD, STARKVILLE, MS 39759-2521
(662) 324-1291
(662) 324-2196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
08/24/2006
Last updated
01/15/2015
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