Individual
SARA B. SCHRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1813 HIGHWAY 61 N, TUNICA, MS 38676-9683
(662) 357-0012
(662) 357-0021
Mailing address
227 BELLEWETHER PASS, RIDGELAND, MS 39157-8758
(601) 605-0459
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10788
MS
207P00000X
Emergency Medicine Physician
28505
KY
207Q00000X
Family Medicine Physician
Primary
10788
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126344
—
MS
05
—
1162515
—
LA
05
—
3883873
—
TN
Enumeration date
05/04/2006
Last updated
06/01/2009
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