Organization
REHABILITATION SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS STURDAVANT M.D. (DOCTOR)
(601) 445-0001
Entity
Organization
Contact information
Practice address
1104 W 1ST ST, SUITE 6, LAUREL, MS 39440-4357
(601) 425-0001
(601) 425-9299
Mailing address
1104 W 1ST ST, SUITE 6, LAUREL, MS 39440-4357
(601) 425-0001
(601) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
16798
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122797
—
MS
01
—
16798
STATE LICENSE
MS
Enumeration date
11/20/2007
Last updated
11/23/2007
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