Individual
NANCY J PERRIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 THORNHILL DR, HATTIESBURG, MS 39402-1548
(601) 261-3737
(601) 261-3899
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3737
(601) 261-3899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14998
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117260
—
MS
01
—
640507572AO
AMERICAN ADMIN GROUP
MS
Enumeration date
08/27/2006
Last updated
03/27/2009
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