Individual
CHRISTINA L DIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
230 TRACE COLONY, RIDGELAND, MS 39157-8810
(601) 936-8999
(601) 936-0088
Mailing address
PO BOX 1066, RIDGELAND, MS 39158-1066
(601) 813-8133
(601) 936-0088
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
18187
MS
2086X0206X
Surgical Oncology Physician
Primary
18187
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00480330
—
MS
Enumeration date
10/02/2006
Last updated
07/10/2019
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