NPI 1164999009

James Roy Sanderson, SURGICALASSTANT

Practitioner Surgical Assistant Philadelphia, MS

Practice location

Address: 223 Myrtle St W, Philadelphia, MS 39350-3037
Phone: (601) 562-4669

Registered specialties

Surgical Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZC0007X

Other Specialist/Technologist, Other providers in Mississippi →

Registry record

NPI: 1164999009
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Oct 2018
Record last updated: 29 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.