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Individual

MR. RONNIE TRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
960 AVENT DR, GRENADA, MS 38901-5230
(662) 227-6426
Mailing address
1160 RIVERDALE RD, GRENADA, MS 38901-9523
(662) 417-7900

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R728497
MS

Other

Enumeration date
07/13/2009
Last updated
07/13/2009
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