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1881873990
JOHN PETTEY SANDIFER
JACKSON, MS
NPI
1881873990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 2007-01565)
Enumeration Date
2007-10-25
Last Update Date
2012-06-27
Business Address
Dr. JOHN PETTEY SANDIFER M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5570
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Mailing Address
Dr. JOHN PETTEY SANDIFER M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5570
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