Individual
TONY GINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 HIGHLAND COLONY PKWY, SUITE 5203, RIDGELAND, MS 39157-2073
(601) 427-4734
(601) 427-4735
Mailing address
1000 HIGHLAND COLONY PKWY, SUITE 5203, RIDGELAND, MS 39157-2073
(601) 427-4734
(601) 427-4735
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
01/18/2012
Last updated
10/01/2015
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