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NPI Code Detail

MEDICARE: CHRISTINE WALDROP M.D.

MEDICARE:   CHRISTINE  WALDROP  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician20317MS
2202K00000XPhlebology Physician20317MS

General Provider Information

NPI Number : 1881815074
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE WALDROP M.D.
Provider Business Mailing Address
First Line : 300 ENTERPRISE DR
Second Line : SUITE B
City : OXFORD
State : MS
Zip : 38655-2762
Country : US
Telephone Number : 662-638-6377
Fax Number :
Provider Business Practice Location Address
First Line : 300 ENTERPRISE DR
Second Line : SUITE B
City : OXFORD
State : MS
Zip : 38655-2762
Country : US
Telephone Number : 662-638-6377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 08/08/2016

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Directions to “ CHRISTINE WALDROP M.D.” Practice Location

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