MIRANDA STREET SUDDUTH

MADISON, MS
NPI1962804211
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MS  PA00212)
Enumeration Date2014-09-18
Last Update Date2015-05-07
Business Address
Ms. MIRANDA STREET SUDDUTH PA-C
1607 DOCTORS DRIVE
MADISON, MS 39110
Phone number: 601-927-2146
Mailing Address
Ms. MIRANDA STREET SUDDUTH PA-C
82 MOSS WOODS DR
MADISON, MS 39110-9161
Phone number: 601-927-2146
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