Individual
BOBBI SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
(662) 377-5071
Mailing address
845 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-5930
(662) 377-5071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871658
MS
Other
Enumeration date
06/23/2014
Last updated
06/23/2014
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