Individual
SCOTT P GUIDRY
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) 268-5660
(601) 268-5759
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5660
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12615
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113657
—
MS
05
—
1419753
—
LA
Enumeration date
08/12/2006
Last updated
08/03/2020
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