Search › Mississippi › 363L00000X
Samantha Statham, NP
NPI 1568291672 · on the registry since 2024
Practice
- Address
- 129 Center St Ste B
Richland, MS 39218 - Phone
- (769) 233-7141
- Organisation at this address
- Medical Systems Management Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
- Licence states on file
- TN, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-09
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