Mauldin, Christopher L

Mauldin, Christopher L is an individual health care provider with primary practice located at 307 S 13Th Ave , Laurel MS 39440-4342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mauldin, Christopher L can be contacted via phone (601) 649-7600.

Contact Information

Primary practice address
307 S 13Th Ave Laurel MS 39440-4342
Phone: (601) 649-7600
Fax: (601) 649-7628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12524 Mississippi

Profile Details

NPI number 1902831837
LBN Legal business name Mauldin, Christopher L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 12th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902831837 NPPES
Mississippi MEDICAID 00115503

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