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Individual

DR. MANUEL LIM ONG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1071 E FRANKLIN ST, CARTHAGE, MS 39051-3601
(601) 267-4562
(601) 267-4589
Mailing address
1071 E FRANKLIN ST, CARTHAGE, MS 39051-3601
(601) 824-1491

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15199
MS
207R00000X
Internal Medicine Physician
15199
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00118343
MS
Enumeration date
05/09/2006
Last updated
06/25/2020
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