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Individual

RONDA CAROL EASON-HINTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
66 OLD AIRPORT RD, HATTIESBURG, MS 39401-8382
(601) 544-7500
(601) 544-7524
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-3700
(601) 450-2493

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R867283
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01459854
MS
01
11838326
CAQH ID#
MS
Enumeration date
02/26/2008
Last updated
04/01/2014
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