Organization
RONNIE S. CHRISTIAN, MD, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONNIE S CHRISTIAN MD (OWNER)
(601) 956-8986
Entity
Organization
Contact information
Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
(662) 289-2486
Mailing address
234 HONOURS DR, MADISON, MS 39110-6514
(601) 956-8986
(662) 289-2486
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
06391
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016103
—
MS
Enumeration date
12/20/2007
Last updated
12/20/2007
Update your record
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