Individual
PORTER HUDSON GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5680
(601) 268-5778
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
302392
LA
207R00000X
Internal Medicine Physician
BP10047200
TX
207RG0100X
Gastroenterology Physician
Primary
25780
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08701856
—
MS
Enumeration date
04/25/2013
Last updated
07/14/2020
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