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Individual

DR. REBECCA BUCHANAN SAENZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, IBCLC, FABM

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
207Q00000X
Family Medicine Physician
Primary
12881
MS
207Q00000X
Family Medicine Physician
MD-021850
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115032
MS
Enumeration date
03/13/2007
Last updated
07/08/2007
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