Individual
PAUL M PAVLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(228) 392-5050
(229) 392-5342
Mailing address
15012 LEMOYNE BLVD, BILOXI, MS 39532-5205
(228) 392-5050
(229) 392-9168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09593
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000014367
—
MS
Enumeration date
06/08/2006
Last updated
11/16/2011
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