Organization
HEARTSOUTH PLLC
Active
Organization
HEARTSOUTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FISHER ALAN COVIN M.D. (CEO)
(601) 296-3070
Entity
Organization
Contact information
Practice address
4 WILLOW POINTE, SUITE 50, HATTIESBURG, MS 39402
(601) 296-3070
(601) 296-3087
Mailing address
4 WILLOW POINTE, SUITE 50, HATTIESBURG, MS 39402
(601) 296-3070
(601) 296-3087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
15293
MS
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
2084N0400X
Neurology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
07/20/2006
Last updated
11/04/2010
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