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Search › Mississippi › 2085R0204X

Samuel Putnam, MD

NPI 1023066404 · on the registry since 2006

Practice

Address
55 Physicians Ln
Southaven, MS 38671
Phone
(662) 655-2136
Fax
(662) 996-2214
Organisation at this address
The Neurosurgical Center
Modern Vascular Of Southaven, Llc
Anesthesia Services Associates, Pllc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Additional practice sites

  • 750 Brunswick Ave, Trenton, NJ
  • 1120 15th St, Augusta, GA
  • 1 Capital Way, Pennington, NJ

Registry record

Primary taxonomy
2085R0204X
2085R0204X
Also registered as
2085R0202X
2085R0202X
2085R0202X
2085R0204X
2085R0204X
2085R0204X
2085R0204X
2085R0204X
Licence states on file
NJ, PA, DE, TN, HI, MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi