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Individual

DR. JAMES KENNETH HENSARLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4436 MANGUM DR., STE A, FLOWOOD, MS 39232
(601) 982-7363
(601) 981-8672
Mailing address
4436 MANGUM DR., STE A, FLOWOOD, MS 39232
(601) 982-7363
(601) 981-8672

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
07313
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000010043
MS
01
110048057
RAILROAD MEDICARE
SC
Enumeration date
05/23/2005
Last updated
02/10/2010
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