SearchMississippiVascular & Interventional Radiology Physician

Samuel Putnam, MD

NPI 1023066404 · on the registry since 2006

Practice

Address
55 Physicians Ln
Southaven, MS 38671
Phone
(662) 655-2136
Fax
(662) 996-2214
Organisation at this address
The Neurosurgical Center
Modern Vascular Of Southaven, Llc
Anesthesia Services Associates, Pllc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 750 Brunswick Ave, Trenton, NJ
  • 1120 15th St, Augusta, GA
  • 1 Capital Way, Pennington, NJ

Registry record

Primary taxonomy
Vascular & Interventional Radiology Physician
2085R0204X
Also registered as
Diagnostic Radiology Physician
Diagnostic Radiology Physician
Diagnostic Radiology Physician
Vascular & Interventional Radiology Physician
Vascular & Interventional Radiology Physician
Vascular & Interventional Radiology Physician
Vascular & Interventional Radiology Physician
Vascular & Interventional Radiology Physician
Licence states on file
NJ, PA, DE, TN, HI, MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi