Doctor Name: | MRS. STEFANIE PATTERSON DENDY |
NPI Number: | 1245400423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA/RRA |
License Number: | MRT1839 |
Business Practice Address: | 825 Grand Avenue Yazoo City, MS - 39194 |
Business Phone Number: | 6627518164 |
Business Fax Number: | 6627518287 |
Mailing Address: | 825 Grand Avenue, YAZOO CITY |
State: | MS |
Postal Code: | 39194 |
Phone Number: | 6627518164 |
Fax Number: | 6627518287 |
NPI Enumeration Date: | 03/04/2008 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | MRT1839 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |