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Individual

DR. REUBEN L. CHRESTMAN III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
611 ALCORN DR, DEPT. OF RADIOLOGY, CORINTH, MS 38834-9368
(662) 293-1466
Mailing address
3507 BLUE BIRD LN, CORINTH, MS 38834-8690
(662) 287-6711

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
03187R
LA
2085R0202X
Diagnostic Radiology Physician
Primary
17388
MS
2085R0202X
Diagnostic Radiology Physician
7126
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1199001
LA
Enumeration date
05/26/2006
Last updated
03/07/2023
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