Individual
DR. NATHAN LYLE COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 FAIRFIELD DR, HATTIESBURG, MS 39402-1303
(601) 450-2401
(601) 450-2434
Mailing address
139 FAIRFIELD DRIVE, HATTIESBURG, MS 39402
(601) 450-2401
(601) 450-2434
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24104
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04280069
—
MS
01
—
1196496
WELLCARE
MS
01
—
1316110745
BLUE CROSS BLUE SHIELD
MS
01
—
P01581249
RAILROAD MEDICARE
MS
Enumeration date
04/07/2008
Last updated
10/10/2016
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