NPI 1619084613 · live from the CMS NPI Registry
Starkville Internal Medicine Clinic
Internal Medicine in Starkville, MS. National Provider Identifier 1619084613, active.
NPI record
| NPI | 1619084613 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 107 Brandon Rd, Starkville, MS 39759 |
| Practice phone | 662-324-1291 |
| Enumerated | August 24, 2006 |
| Last updated | January 15, 2015 |
| Authorized official | Benjamin Sanford, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.