Individual
ALEX GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8000
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0
MS
Other
Enumeration date
03/26/2016
Last updated
04/14/2017
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