Individual
STEPHEN H LANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 S GLOSTER ST STE 103, TUPELO, MS 38801-4747
(601) 401-6400
Mailing address
PO BOX 405827, ATLANTA, GA 30384-5800
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11567
MS
2084N0400X
Neurology Physician
MD0000014260
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121622
—
MS
05
—
112511001
—
AR
01
—
130014479
RAILROAD MEDICARE
—
05
—
3010577
—
TN
Enumeration date
03/29/2006
Last updated
04/14/2020
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