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Search › Mississippi › Surgery Physician

Stephen Sudderth, MD

NPI 1528096849 · on the registry since 2006 · sole proprietor

Practice

Address
188 Ymca Pl
Vicksburg, MS 39183
Phone
(601) 636-7222
Fax
(601) 636-0440
Organisation at this address
River City Dermatology And Aesthetics Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Surgery Physician
208600000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-21

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