Organization
MISS REPRODUCTIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL S HINES MD (OWNER)
(601) 936-3650
Entity
Organization
Contact information
Practice address
1040 RIVER OAKS DR, JACKSON, MS 39232-9530
(601) 936-3650
(866) 491-0274
Mailing address
1040 RIVER OAKS DR, JACKSON, MS 39232-9530
(601) 936-3650
(866) 491-0274
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
12123
MS
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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