Individual
JOSE A CARLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1911 READ RD, PICAYUNE, MS 39466-2730
(601) 450-3500
(601) 450-3504
Mailing address
PO BOX 1729, HATTIESBURG, MS 39403-1729
(601) 545-3700
(601) 450-2493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19599
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08971093
—
MS
Enumeration date
12/21/2006
Last updated
07/17/2012
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