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Dr. Ronald C Mozingo, OD

Optometrist in Hattiesburg, MS. Individual provider (NPI-1).

NPI number1841363629
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1841363629
Entity type
Individual (NPI-1)
Name
Dr. Ronald C Mozingo
Credential
OD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 17, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist470MSYes

Practice location

6096 Us Hwy 98
Suite 1a
Hattiesburg, MS 39402

Phone 601-261-2467 · Fax 601-296-6685

Mailing address

6096 Us Hwy 98
Suite 1a
Hattiesburg, MS 39402

Phone 601-261-2467 · Fax 601-296-6685

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