Individual
DR. LAWRENCE MADISON SUTTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1668 W PEACE ST, CANTON, MS 39046-5332
(601) 859-5213
Mailing address
PO BOX 588, CANTON, MS 39046-0588
(601) 859-5213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08931
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114851
—
MS
Enumeration date
05/04/2007
Last updated
05/20/2021
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