Provider Demographics
NPI:1013110857
Name:GANTZ PANNEL, SARAH KATHERINE (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:KATHERINE
Last Name:GANTZ PANNEL
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:1739 UNIVERSITY AVE
Mailing Address - Street 2:#117
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-4109
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:960 AVENT DR
Practice Address - Street 2:UMC GRENADA SENIOR CARE UNIT
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-5230
Practice Address - Country:US
Practice Address - Phone:662-227-7222
Practice Address - Fax:662-227-6528
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2016-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MS216622084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry