Individual
SANJA RAUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-1196
(601) 984-5939
Mailing address
2500 NORTH STATE STREET, JMM ROOM 2525, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18731
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08234897
—
MS
01
—
P00282995
RAILROAD MEDICARE
MS
01
—
P00462312
RAILROAD MEDICARE
MS
Enumeration date
09/28/2006
Last updated
12/08/2016
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