Individual
JAMES ROY SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSTANT
Contact information
Practice address
223 MYRTLE ST W, PHILADELPHIA, MS 39350-3037
(601) 562-4669
Mailing address
223 MYRTLE ST W, PHILADELPHIA, MS 39350-3037
(601) 562-4669
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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