Individual
SAMUEL JOSHUA CREEKMORE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-9042
(662) 534-9707
Mailing address
216 OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-9042
(662) 534-9707
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06178
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00013582
—
MS
Enumeration date
02/22/2006
Last updated
07/08/2007
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