Sudduth, Miranda Street

Sudduth, Miranda Street is an individual health care provider with primary practice located at 1607 Doctors Drive , Madison MS 39110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Sudduth, Miranda Street can be contacted via phone (601) 927-2146.

Contact Information

Primary practice address
1607 Doctors Drive Madison MS 39110
Phone: (601) 927-2146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00212 Mississippi

Profile Details

NPI number 1962804211
LBN Legal business name Sudduth, Miranda Street
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2014
Last updated May 7th, 2015 - about 11 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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