Individual
RALPH E ABRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5660
(601) 268-5759
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5660
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
05080
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012609
—
MS
01
—
1558916
AMERICAN ADMIN GROUP
MS
01
—
332920374
RAILROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
08/23/2016
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