Organization
QHG OF HATTIESBURG INC
Active
Organization
QHG OF HATTIESBURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 268-8000
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7000
(615) 465-3007
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015425
—
MS
Enumeration date
09/06/2005
Last updated
06/01/2012
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