Metcalf, Samuel Griffin

Metcalf, Samuel Griffin is an individual health care provider with primary practice located at 118 Fairfield Dr , New Albany MS 38652-3107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Metcalf, Samuel Griffin can be contacted via phone (662) 534-0898.

Contact Information

Primary practice address
118 Fairfield Dr New Albany MS 38652-3107
Phone: (662) 534-0898
Fax: (662) 534-8905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29519 Mississippi
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29519 Mississippi

Profile Details

NPI number 1003377003
LBN Legal business name Metcalf, Samuel Griffin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2019
Last updated Apr 5th, 2024 - about 2 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 1003377003 NPPES
Mississippi MEDICAID 200005489

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