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Individual

DR. DOMINICK TRINCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-8800
(662) 741-2700
Mailing address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-8800
(662) 741-2700

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14017
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1053550236
MEDICARE NPI
MS
Enumeration date
10/19/2008
Last updated
07/14/2022
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