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Johnny Sadler
NPI 1932589249 · on the registry since 2015
Practice
- Address
- 2847 Highway 178
Tupelo, MS 38804 - Phone
- (662) 205-4630
- Organisation at this address
- Northeast Community Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-02
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