Individual
DR. LINDA CHIDESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 TOWN CREEK DR, SALTILLO, MS 38866-7947
(662) 869-0033
Mailing address
PO BOX 3395, TUPELO, MS 38803-3395
(662) 570-4228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07205
MS
Other
Enumeration date
07/21/2007
Last updated
07/22/2007
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