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Individual

DR. FAWAZ ABDRABBO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
625 HIGHLAND COLONY PKWY, SUITE 101, RIDGELAND, MS 39157
(601) 853-2676
(601) 853-9535
Mailing address
625 HIGHLAND COLONY PKWY, SUITE 101, RIDGELAND, MS 39157
(601) 853-2676
(601) 853-9535

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16283
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0120960
MS
Enumeration date
12/05/2005
Last updated
12/17/2024
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