Individual
DR. CLINTON E HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5510
(228) 809-5519
Mailing address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5510
(228) 809-5519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MS19367
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
646000515E
BLUE CROSS OF MS
MS
05
—
773319
—
MS
Enumeration date
10/23/2006
Last updated
02/26/2014
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