Individual
DR. SCOTT ERIC HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
(601) 261-5700
(601) 261-5777
Mailing address
5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
(601) 261-5700
(601) 261-5777
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
40239
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40239
MEDICAL LICENSE
KY
Enumeration date
05/10/2007
Last updated
03/07/2023
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