Crescentworld Enterprises, Pllc

NPI 1124436977 - Internal Medicine - 207RC0000X

NPI Details
NPI 1124436977
Enumeration Date 07/24/2014
Last Updated 12/23/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BERTHRONE BERTHRONE
Position PHYSICIAN OWNER
Phone (601) 201-1426
Fax
Practice Location
670 HIGHWAY 51 STE B
RIDGELAND MS, 39157-2138, US
Phone (601) 201-1426
Fax
Business Location
670 HIGHWAY 51 STE B
RIDGELAND MS, 39157-2138, US
Phone
Fax
Toxanomy
Taxonomy Code 207RC0000X
License State Mississippi
License Number 20402
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According to our database, Crescentworld Enterprises, Pllc NPI is 1124436977, taxonomy code is 207RC0000X and license number is 20402, license state is located at Mississippi. Crescentworld Enterprises, Pllc physically located at 670 Highway 51 Ste B, Ridgeland MS, 39157-2138. NPI Number 1033115704 has the healthcare provider type.

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1124436977 NPI number is provided on an as is basis without warranty of any kind. 1124436977 is maintained by the National Plan & Provider Enumeration System. The contents of Crescentworld Enterprises, Pllc are for informational purposes only.