Doctor Name: | TONY GINES |
NPI Number: | 1083985303 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1000 Highland Colony Pkwy Suite 5203 Ridgeland, MS - 391572073 |
Business Phone Number: | 6014274734 |
Business Fax Number: | 6014274735 |
Mailing Address: | 1000 Highland Colony Pkwy, Suite 5203 RIDGELAND |
State: | MS |
Postal Code: | 391572073 |
Phone Number: | 6014274734 |
Fax Number: | 6014274735 |
NPI Enumeration Date: | 01/18/2012 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261Q00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |