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Individual

SAM JACKSON DUNNAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
206B OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-4445
Mailing address
206B OXFORD RD, NEW ALBANY, MS 38652-3115

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
6889
MS
2251X0800X
Orthopedic Physical Therapist
Primary
6889
MS

Other

Enumeration date
06/15/2020
Last updated
06/15/2020
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