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Individual

CHAD ALLEN RHODEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18656
MS
207Q00000X
Family Medicine Physician
Primary
18656
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05126830
MS
Enumeration date
11/29/2006
Last updated
09/09/2015
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