Individual
DR. HAL T LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 FAIRFIELD DR, HATTIESBURG, MS 39402-1303
(601) 450-2401
(601) 450-2433
Mailing address
139 FAIRFIELD DR, HATTIESBURG, MS 39402-1303
(601) 450-2401
(601) 450-2434
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
09147
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023032497
—
MS
01
—
509218YTSR
MEDICARE PTAN
MS
Enumeration date
07/27/2006
Last updated
10/04/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us