Whalio Doctors

NPI 1679775944

Courtney Rey Convertino, MD

Practitioner Pediatrics Physician Ridgeland, MS

Practice location

Address
6919 Old Canton Rd, Ridgeland, MS 39157-1268
Phone
(601) 956-0911

Registered specialties

Pediatrics Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence T-1899 (MS)

Registry record

NPI
1679775944
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 May 2007
Record last updated
12 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.