Individual
RANDOLPH ROSS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
27412
MS
207RP1001X
Pulmonary Disease Physician
Primary
27412
MS
Other
Enumeration date
04/03/2017
Last updated
07/20/2023
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