Individual
PHILIP E PEARSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 HARDY ROAD, MISSISSIPPI STATE, MS 39762
(662) 325-2431
(662) 325-8888
Mailing address
PO BOX 6338, MISSISSIPPI STATE, MS 39762
(662) 325-2431
(662) 325-8888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15198
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117637
—
MS
Enumeration date
12/02/2005
Last updated
07/08/2007
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