Individual
DR. RALPH HUNTER DIDLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 RIVER OAKS DR, STE 140, JACKSON, MS 39232-9500
(601) 939-9093
(601) 939-5379
Mailing address
2500 NORTH STATE STREET, THE UNIVERSITY OF MISSISSIPPI MEDICAL CENTER, JACKSON, MS 39216
(601) 815-4964
(601) 984-2970
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
08725
MS
Other
Enumeration date
10/18/2006
Last updated
11/19/2010
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