Organization
SENTER MEDICAL CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY D GRUBBS (INS COOR)
(662) 454-7170
Entity
Organization
Contact information
Practice address
26 3RD STREET, BELMONT, MS 38827-0549
(662) 454-7170
(662) 454-7177
Mailing address
PO BOX 549, BELMONT, MS 38827-0549
(662) 454-7170
(662) 454-7177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11702
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014933
—
MS
Enumeration date
04/10/2009
Last updated
04/10/2009
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