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Contact Information

RONALD D DELRIE JR, MD
1501 ASTON AVE
MCCOMB, MS39648-2734
 Phone: 601-249-5510
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RONALD D DELRIE JR · (Male)

NPI Number 1689850620
Status Active
Credentials MD
Entity Individual
Enumeration date 01/20/2008
Last updated 07/10/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 002147
  • LA License # 205787
  • MS License # 24455
  • LA Medicaid 2310178
  • MS Medicaid 04554501
  • LA Other P01123394 RAILROAD MEDICARE
Hospital affiliation(s)
  • KING'S DAUGHTERS MEDICAL CENTER-BROOKHAVEN - (Acute Care)
    P O BOX 948/427 HIGHWAY 51 NORTH
    BROOKHAVEN, MS 39601
  • SOUTHWEST MS REGIONAL MEDICAL CENTER - (Acute Care)
    215 MARION AV BOX 1307
    MCCOMB, MS 39649
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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