Massingill, Samuel Scott

Massingill, Samuel Scott is an individual health care provider with primary practice located at 1710 14Th St , Meridian MS 39301-4140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Massingill, Samuel Scott can be contacted via phone (601) 482-9211.

Contact Information

Primary practice address
1710 14Th St Meridian MS 39301-4140
Phone: (601) 482-9211
Fax: (601) 482-9497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 12140 Mississippi

Profile Details

NPI number 1336121342
LBN Legal business name Massingill, Samuel Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336121342 NPPES
Other 730-70723 BLUE CROSS OF AL
MEDICAID 00115812 BLUE CROSS OF AL

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