Individual
DR. MARIA CLARISSA ONG TIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-4775
(601) 815-4775
Mailing address
504 CLINTON CENTER DR STE 4300, CLINTON, MS 39056-5610
(601) 496-9524
(043) 460-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28495
MS
Other
Enumeration date
04/21/2015
Last updated
01/18/2022
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