Individual
DR. NATALE TATE SHEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1227 N STATE ST STE 101, JACKSON, MS 39202-2002
(601) 355-2485
Mailing address
1227 N STATE ST STE 101, JACKSON, MS 39202-2002
(601) 355-2485
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
20595
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09855421
—
MS
01
—
640619700
TAX ID
—
01
—
P01212513
RAILROAD MEDICARE
MS
Enumeration date
05/24/2007
Last updated
04/27/2022
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