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Contact Information

SUEZAN C MCCORMICK, DMD
115 HWY 556
MEADVILLE, MS39653
 Phone: 601-384-5891
 Fax: 601-384-5878
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for SUEZAN C MCCORMICK · (Female)

NPI # 1417008103
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/16/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 262691
  • MS Medicaid 00060449
Hospital affiliation(s) Not Available
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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