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Organization · Internal Medicine Physician · Hattiesburg, MS

NPI
1811120512
Type
Organization (Type 2)
Primary specialty
Internal Medicine Physician (Internal Medicine)
Specialty group
Allopathic & Osteopathic Physicians
Taxonomy code
207R00000X
License number
17488 (MS)
Enumerated
2009-08-27
Last updated
2009-08-27
Practice location
2503 Glendale Ave
Hattiesburg, MS 39401-1073
(601) 582-5805

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