Sudduth, Edwin P
Sudduth, Edwin P is an individual health care provider with primary practice located at 971 Lakeland Dr Suite 202, Jackson MS 39216-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Sudduth, Edwin P can be contacted via phone (601) 362-1990.Contact Information
Primary practice address
971 Lakeland Dr Suite 202
Jackson MS 39216-4643
Phone: (601) 362-1990
Fax: (601) 362-1988
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 7845 | Mississippi |
Profile Details
| NPI number | 1003854670 |
|---|---|
| LBN Legal business name | Sudduth, Edwin P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003854670 | NPPES |
| Mississippi | MEDICAID | 00018142 |
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