Individual
INI-ABASI JOYCE OLUTADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 BUSINESS PARK DR STE A, RIDGELAND, MS 39157-6015
(601) 991-3040
(601) 991-3399
Mailing address
100 BUSINESS PARK DR STE A, RIDGELAND, MS 39157-6015
(601) 991-3040
(601) 991-3399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16022
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119586
—
MS
Enumeration date
09/26/2006
Last updated
03/09/2015
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