Individual
DR. SANDRA F. BURFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
108 DANAWOOD LN, VICKSBURG, MS 39180-9146
(601) 638-8600
Mailing address
108 DANAWOOD LN, VICKSBURG, MS 39180-9146
(601) 638-8600
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11009
MS
Other
Enumeration date
10/19/2010
Last updated
06/01/2012
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