Individual
MR. MACARTHUR INGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3413 CAMELLIA CIRCLE, COLUMBUS, MS 39705-1736
(662) 327-3643
(663) 328-9806
Mailing address
3413 CAMELLIA CIRCLE, COLUMBUS, MS 39705-1736
(662) 327-3643
(663) 328-9806
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02488536
—
MS
Enumeration date
01/07/2008
Last updated
01/07/2008
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