Organization
CLD MEDICAL ENTERPRISES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINA L DIAL DO (OWNER)
(601) 953-2410
Entity
Organization
Contact information
Practice address
212 DRAPERTON CT STE A, RIDGELAND, MS 39157-3905
(601) 936-8999
Mailing address
671 MUIRWOOD CIR, RIDGELAND, MS 39157-3631
(601) 953-2410
(601) 936-0088
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18187
MS
2086X0206X
Surgical Oncology Physician
Primary
18187
MS
Other
Enumeration date
01/15/2018
Last updated
01/15/2018
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