Individual
DR. RUDOLPH S RUNNELS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 SIMPSON HIGHWAY 149 STE 170, MAGEE, MS 39111-3840
(601) 849-9182
(601) 849-5781
Mailing address
P.O. BOX 605, MAGEE, MS 39111
(601) 849-9182
(601) 849-5781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08417
MS
207QS1201X
Sleep Medicine (Family Medicine) Physician
08417
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123451
—
MS
Enumeration date
04/28/2006
Last updated
07/10/2019
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