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Organization

MITIAS ORTHOPAEDICS AND SPORTS MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANA LEEE UNDERWOOD (BILLING MANAGER)
(662) 890-3234
Entity
Organization

Contact information

Practice address
206 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-2227
Mailing address
PO BOX 1607, OLIVE BRANCH, MS 38654-0955
(662) 890-2663
(662) 890-2681

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13955
MS

Other

Enumeration date
08/29/2007
Last updated
08/29/2007
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