Organization
MISSISSIPPI BREASTFEEDING MEDICINE CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA B SAENZ MD (OWNER)
(601) 898-7979
Entity
Organization
Contact information
Practice address
111A DEPOT DR, MADISON, MS 39110-9395
(601) 898-7979
(601) 898-7989
Mailing address
PO BOX 1538, MADISON, MS 39130-1538
(601) 898-7979
(601) 898-7989
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115032
—
MS
05
—
09985283
—
MS
Enumeration date
07/05/2007
Last updated
08/22/2020
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