Individual
TREVOR SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 MDG/GME, 301 FISHER ST, RM 1G123, KEESLER AFB, MS, BILOXI, MS 39534
(228) 376-3728
Mailing address
81 MDG/GME, 301 FISHER ST, RM 1G123, KEESLER AFB, MS, BILOXI, MS 39534
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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