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Organization

STARKVILLE FAMILY PRACTICE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL DREW ANTHONY M.D. (PRESIDENT)
(662) 323-1212
Entity
Organization

Contact information

Practice address
100 BRANDON RD, SUITE 5, STARKVILLE, MS 39759-2571
(662) 323-1212
Mailing address
2478 PIKE RD, STARKVILLE, MS 39759-7900
(662) 323-1212

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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