Individual
HARVEY ALLEN GERSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
117 W CANEBRAKE BLVD, HATTIESBURG, MS 39402-8341
(601) 261-0315
Mailing address
117 W CANEBRAKE BLVD, HATTIESBURG, MS 39402-8341
(601) 261-0315
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
07885
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016243
—
MS
05
—
009604730
—
AL
05
—
1198943
—
LA
01
—
1559195
AMERICAN ADMIN GROUP
MS
01
—
408113450
RAILROAD MEDICARE
—
Enumeration date
08/09/2006
Last updated
08/03/2022
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