Organization
CARY N METTETAL
Active
Other names
Mettetal Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY HARRISON (OFFICE MANAGER)
(662) 487-0004
Entity
Organization
Contact information
Practice address
401 E LEE ST, SARDIS, MS 38666-1227
(662) 487-0004
(662) 487-0006
Mailing address
401 E LEE ST, SARDIS, MS 38666-1227
(662) 487-0004
(662) 487-0006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015623
—
MS
Enumeration date
11/15/2006
Last updated
06/01/2023
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