Individual
DR. HAZEL MCCAUGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1149 OLD FANNIN RD, #26, BRANDON, MS 39047-9244
(601) 992-7972
Mailing address
305 OAKMONT TRL, RIDGELAND, MS 39157-8718
(601) 605-9552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3063-98
MS
Other
Enumeration date
01/06/2017
Last updated
01/11/2017
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