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Organization

BETH FELDER, MD. LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH M FELDER MD (MEDICAL DIRECTOR)
(601) 266-5163
Entity
Organization

Contact information

Practice address
118 COLLEGE DR, HATTIESBURG, MS 39406-0002
(601) 266-5163
(601) 266-5850
Mailing address
27 DEER VLY, HATTIESBURG, MS 39402-5503
(601) 264-2970
(601) 266-5850

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13567
MS
225XP0200X
Pediatric Occupational Therapist
OT0049
235Z00000X
Speech-Language Pathologist
363LP0200X
Pediatric Nurse Practitioner
R858140
MS

Other

Enumeration date
02/08/2014
Last updated
02/08/2014
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