Individual
NOUHAD O KRONFOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1997 MEDICAL PARK DR, GREENVILLE, MS 38703-7268
(662) 335-4105
(662) 378-2879
Mailing address
1997 MEDICAL PARK DR, GREENVILLE, MS 38703-7268
(662) 335-2810
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
11536
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016033
—
MS
01
—
390000044
MEDICARE
MS
Enumeration date
07/08/2006
Last updated
07/14/2017
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