Tony Gines

NPI #1083985303 in Ridgeland, Mississippi

Provider Information

NPI Number: 1083985303
Entity Type: Individual
Name: Tony Gines
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Jan 18, 2012
Last Updated: Oct 1, 2015

Practice Location

Address: 1000 HIGHLAND COLONY PKWY
Address 2: SUITE 5203
City: Ridgeland
State: Mississippi
ZIP Code: 39157-2073
Phone: (601) 427-4734

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary
Clinic/Center	261Q00000X

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