Individual
PAUL D VANLANDINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 BRIDGEVIEW CIR, RIDGELAND, MS 39157-8617
(601) 853-0133
Mailing address
115 BRIDGEVIEW CIR, RIDGELAND, MS 39157-8617
(601) 853-0133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09197
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116195
—
MS
Enumeration date
11/14/2006
Last updated
11/21/2024
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