specializing in family medicine in Hattiesburg, Mississippi
NPI: 1679053979
Provider Type
2
Practice Locations
Mailing Location
Practice Location
SOUTH 28TH AVENUE FAMILY MEDICINE
1101 SOUTH 28TH AVENUE, SUITE C
HATTIESBURG, MS 39402
📠 6015795240
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:8/16/2018
Last Updated:2/22/2021
Credentials
Primary Credential: