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NPI Code Detail

MEDICARE: SAMUEL D HENSLEY MD

MEDICARE: SAMUEL D HENSLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZN0500XNeuropathology Physician12771MS
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician12771MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801884234
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL D HENSLEY MD
Provider Business Mailing Address
First Line : 2510 LAKELAND DR
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9513
Country : US
Telephone Number : 601-355-1234
Fax Number : 601-326-3559
Provider Business Practice Location Address
First Line : 2510 LAKELAND DR
Second Line :
City : FLOWOOD
State : MS
Zip : 39232-9513
Country : US
Telephone Number : 601-355-1234
Fax Number : 601-326-3559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 09/20/2017

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Directions to “ SAMUEL D HENSLEY MD” Practice Location

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