Organization
SANDERS CLINIC FOR WOMEN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA KELLY (OFFICE MANAGER)
(662) 844-6295
Entity
Organization
Contact information
Practice address
1041 S MADISON ST, TUPELO, MS 38801-6309
(662) 844-8754
Mailing address
1041 S MADISON ST, TUPELO, MS 38801-6309
(662) 844-8754
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9011671
—
MS
Enumeration date
07/22/2006
Last updated
08/13/2013
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