Individual
DR. HIRAM ALFONSO GATEWOOD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
450 MAIN ST., RAYMOND, MS 39154
(601) 857-5021
(601) 857-2106
Mailing address
450 MAIN ST. PO BOX 4, RAYMOND, MS 39154
(601) 857-5021
(601) 857-2106
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1926-81
MS
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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