RYDER LANE COSTA

CORINTH, MS
NPI1053005751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  COST-GQ4B33)
Enumeration Date2023-06-06
Last Update Date2023-06-07
Business Address
Dr. RYDER LANE COSTA DO
611 ALCORN DR
CORINTH, MS 38834-9388
Phone number: 662-293-1143
Mailing Address
Dr. RYDER LANE COSTA DO
611 ALCORN DR
CORINTH, MS 38834-9388
Phone number:
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