Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MIRANDA STREET SUDDUTH, PA-C
ActiveMS. MIRANDA STREET SUDDUTH, PA-C is a Medical Physician Assistant healthcare provider located in MADISON, Mississippi. NPI 1962804211 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MADISON, MS
Registration Details
- NPI Number
- 1962804211
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 18, 2014 (11.718398505124 yrs)
- Last Updated
- May 7, 2015
- License
-
PA00212 (MS)
Practice Information
- Address
-
1607 DOCTORS DRIVEMADISON, MS, 39110Browse MS providers · Browse ZIP 39110
- Phone
- 6019272146
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in MADISON, MS
| Name | Credential | NPI |
|---|---|---|
| TARA T WALKER | PA | 1730798950 |
| CAROLINE TATE BALDWYN | PA-C | 1760075535 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.