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Individual

DR. RONNIE S CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
(662) 289-2486
Mailing address
332 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3209
(662) 289-1800
(662) 289-2486

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
06391
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00126181
MS
Enumeration date
04/12/2006
Last updated
08/17/2007
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