Individual
DR. MARY PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 MEDICAL PARK, HATTIESBURG, MS 39401
(601) 579-3000
(601) 579-5463
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25067
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03976598
—
MS
Enumeration date
06/09/2014
Last updated
07/09/2020
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