Individual
DR. TRICIA K AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5510
(228) 809-5519
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MS17226
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TA00125439
—
MS
Enumeration date
10/20/2006
Last updated
05/20/2023
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