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Individual

DR. ELAINE RUTH REINHARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
519 W MONTICELLO ST, SUITE B, BROOKHAVEN, MS 39601-3209
(601) 990-2963
(601) 833-0530
Mailing address
519 W MONTICELLO ST, SUITE B, BROOKHAVEN, MS 39601-3209
(601) 990-2963
(601) 990-2964

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17415
MS
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
17415
MS
208D00000X
General Practice Physician
Primary
17415
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05676700
MS
Enumeration date
12/18/2006
Last updated
01/08/2016
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