Individual
DR. JOHN WELLS GAUDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
39 FRANKLIN RD, STE. 200, HATTIESBURG, MS 39402-1588
(601) 296-3050
(601) 296-3013
Mailing address
39 FRANKLIN RD, STE. 200, HATTIESBURG, MS 39402-1588
(601) 296-3050
(601) 296-3013
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13989
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00116155
—
MS
05
—
09016137
—
MS
Enumeration date
04/19/2006
Last updated
08/27/2020
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