Organization · Type 2 NPI

Region Xii Commission

General Practice Physician · Laurel, MS

NPI number 1467767988 Active

Practice location

934 West Dr
Laurel, MS 39440-4702

Call (601) 426-7520 Map

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

50 other providers at this address

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About NPI 1467767988

Region Xii Commission's National Provider Identifier is 1467767988, issued on Aug 9, 2010. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Laurel, MS. The record was last updated on Aug 9, 2010.