SENATOBIA FAMILY PRACTICE P.C. NPI 1932409323

NPI Information

  • NPI: 1932409323
  • Provider Name: SENATOBIA FAMILY PRACTICE, P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 25D0965181
  • Address: 104 N ROBINSON ST
    SENATOBIA, MS
    ZIP 38668
  • Phone: (662) 562-0411

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NPI Details

SENATOBIA FAMILY PRACTICE, P.C. is a specialist in Senatobia, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SENATOBIA FAMILY PRACTICE, P.C. NPI is 1932409323. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

104 N ROBINSON ST
SENATOBIA, MS
ZIP 38668-149
Phone: (662) 562-0411
Fax: (662) 560-0161

The provider's authorized official is Forster Gehring Ruhl .
The authorized official title is President and has the following contact phone number (662) 562-0411.

The CLIA number assigned to this NPI record is 25D0965181 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist12463MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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