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Individual

DR. CHARLENE HOOPER COLLIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH, MHS

Contact information

Practice address
633 KINSINGTON CT, RIDGELAND, MS 39157-4138
(401) 743-7665
(601) 984-5317
Mailing address
633 KINSINGTON CT, RIDGELAND, MS 39157-4138
(401) 743-7665
(601) 984-5317

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
049793
CT
207V00000X
Obstetrics & Gynecology Physician
Primary
22675
MS
207V00000X
Obstetrics & Gynecology Physician
MD479763
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06874545
MS
Enumeration date
12/13/2007
Last updated
05/16/2023
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