Individual
DR. SUZANNE SENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5236
Mailing address
154 ROLLING MEADOWS RD, RIDGELAND, MS 39157-9442
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
11421
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010860
—
MS
01
—
302I379888
MEDICARE PTAN
MS
Enumeration date
05/19/2008
Last updated
12/16/2009
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