Individual
DR. ONEY CARSTAFFEN RAINES III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 54TH ST, GULFPORT, MS 39507-4601
(228) 865-9871
(228) 865-9871
Mailing address
16 54TH ST, GULFPORT, MS 39507-4601
(228) 865-9871
(228) 865-9871
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05049
MS
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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