Individual
DR. RONALD C MOZINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6096 US HWY 98, SUITE 1A, HATTIESBURG, MS 39402
(601) 261-2467
(601) 296-6685
Mailing address
6096 US HWY 98, SUITE 1A, HATTIESBURG, MS 39402
(601) 261-2467
(601) 296-6685
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
470
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00087886
—
MS
01
—
P00037724
PALMETTO GBA RR MEDICARE
MS
Enumeration date
11/17/2006
Last updated
07/08/2007
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