Individual
DR. CHRISTOPHER L MAULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 S 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7600
(601) 649-7628
Mailing address
307 S 13TH AVE, LAUREL, MS 39440-4342
(601) 649-7166
(601) 649-7628
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12524
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115503
—
MS
Enumeration date
07/11/2006
Last updated
07/12/2007
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