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Anesthesiology Physician
NPI: 1891285896IndividualAccepts Medicare
Specialties, Licenses & Credentials
Anesthesiology PhysicianPrimary
Anesthesiology
Code: 207L00000X
29955(MS)
CMS Specialties
PrimaryANESTHESIOLOGY
Education
OTHER
Class of 2018
Contact & Hours
- Address
- 415 S 28TH AVE
HATTIESBURG, MS 39401 - Phone
- (601) 261-3606
Quick Facts
- NPI
- 1891285896
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 8
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