L.c. Tennin, Jr M.d., P.a.
NPI #1598908774 in Canton, Mississippi
Provider Information
- NPI Number
- 1598908774
- Entity Type
- Organization
- Organization Name
- L.c. Tennin, Jr M.d., P.a.
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 17, 2009
- Last Updated
- Apr 27, 2019
Practice Location
- Address
- 122 E ACADEMY ST
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-4502
- Phone
- (601) 859-8992
Authorized Official
- Name
- DR. LC TENNIN JR.
- Title
- ADMINISTRATIVE PRESIDENT
- Phone
- (601) 214-5998
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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