Provider Demographics
NPI:1225325699
Name:SUGGS, MARGIE JEANANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGIE
Middle Name:JEANANN
Last Name:SUGGS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:970 LAKELAND DR
Mailing Address - Street 2:STE 34
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4635
Mailing Address - Country:US
Mailing Address - Phone:601-362-0600
Mailing Address - Fax:601-362-1186
Practice Address - Street 1:1225 N STATE ST
Practice Address - Street 2:DEPT OF RADIATION ONCOLOGY
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39202-2064
Practice Address - Country:US
Practice Address - Phone:601-968-1416
Practice Address - Fax:601-968-1218
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS233092085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS23309OtherMEDICAL LICENSE
MS006185541Medicaid