Runnels, Rudolph Scott

Runnels, Rudolph Scott is an individual health care provider with primary practice located at 1055 River Oaks Drive , Flowood MS 39232-9595. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Runnels, Rudolph Scott can be contacted via phone (601) 939-9778.

Contact Information

Primary practice address
1055 River Oaks Drive Flowood MS 39232-9595
Phone: (601) 939-9778
Fax: (601) 939-9416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 13960 Mississippi

Profile Details

NPI number 1639221179
LBN Legal business name Runnels, Rudolph Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 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 1639221179 NPPES
Mississippi MEDICAID 00115139

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