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Individual

DR. SARAH NOVOTNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2500 N STATE ST, DEPARTMENT OF OB/GYN, JACKSON, MS 39216-4500
(601) 984-5358
Mailing address
2500 N STATE ST, DEPARTMENT OF OB/GYN, JACKSON, MS 39216-4500
(601) 984-5358

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01062990
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
20655
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004124855
MS
05
178840
AL
Enumeration date
12/15/2006
Last updated
12/08/2015
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