Individual
DR. RONNIE ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11564 STANTON CIR, GULFPORT, MS 39503-6156
(228) 896-1016
(228) 354-0088
Mailing address
11564 STANTON CIR, GULFPORT, MS 39503-6156
(228) 896-1016
(228) 354-0088
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
16596
MS
207P00000X
Emergency Medicine Physician
DO0000001749
TN
207P00000X
Emergency Medicine Physician
OS0009111
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121559
—
MS
05
—
272211900
—
FL
05
—
3319626
—
TN
01
—
48468
BCBS
FL
01
—
P00239565
RRMCR
FL
01
—
P00411844
RAILROAD MEDICARE
MS
Enumeration date
01/19/2006
Last updated
08/05/2009
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