Individual
CLINTON JOHN EZEKIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 FISHER STREET, INTERNAL MEDICINE, BILOXI, MS 39534
(228) 376-0577
(228) 376-0103
Mailing address
301 FISHER STREET, INTERNAL MEDICINE CLINIC, BILOXI, MS 39534
(228) 376-0577
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25038
MS
Other
Enumeration date
04/01/2013
Last updated
04/11/2018
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