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Contact Information

SAMUEL MANSOUR, MD
176 SOUTH MAIN ST
PONTOTOC, MS38863
 Phone: 662-488-7640
 Fax: 662-488-7675
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for SAMUEL MANSOUR · (Male)

NPI # 1306894555
Status Active
Credentials MD
Entity Individual
Enumeration date 05/04/2006
Last updated 12/20/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 9152
Hospital affiliation(s)
  • BAPTIST MEMORIAL HOSPITAL BOONEVILLE - (Acute Care)
    100 HOSPITAL DRIVE
    BOONEVILLE, MS 38829
  • CALHOUN HEALTH SERVICES - (Critical Access)
    140 BURKE-CALHOUN CITY ROAD
    CALHOUN CITY, MS 38916
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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