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Organization

P & S CLINIC OB-GYN PLLC

Active
Other names
Physicians & Surgeons Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE SAGELY (PROVIDER ENROLLMENT)
(662) 256-9331
Entity
Organization

Contact information

Practice address
900 EARL FRYE BLVD, SUITE A, AMORY, MS 38821-5507
(662) 256-9331
(662) 256-9335
Mailing address
900 EARL FRYE BLVD, SUITE A, AMORY, MS 38821-5507
(662) 256-9331
(662) 256-9335

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
Primary
208000000X
Pediatrics Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06924896
MS
Enumeration date
01/25/2007
Last updated
02/21/2020
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