Individual
DEDRICK GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 COLLEGE DR, HATTIESBURG, MS 39406-0002
(601) 266-1000
Mailing address
5787 CHEROKEE DR, HORN LAKE, MS 38637-9233
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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