Sam Jackson Dunnam
Sam Jackson Dunnam is a Physical Therapist in Private Practice in New Albany, Mississippi. Qualified in 2020, 6 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 6
- Licensed in
- MS
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
206B Oxford RdNew Albany, MS 38652-3115
Phone: (662) 534-4445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthopedic Physical Therapist (primary) | Taxonomy 2251X0800X · Licence 6889 (MS) |
|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | Taxonomy 2081S0010X · Licence 6889 (MS) |
Record details
| NPI number | 1053936138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 15, 2020 |
| Last updated in NPPES | June 15, 2020 |
| Certification date | June 15, 2020 |
| Mailing address | 206b Oxford Rd, New Albany, MS 38652-3115 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Athletico Ltd — 2186 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |