Individual
ELLEN DAUTERIVE CASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8950 LORRAINE RD STE B, GULFPORT, MS 39503-4183
(228) 822-6770
(228) 896-5374
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
28955
MS
Other
Enumeration date
04/06/2016
Last updated
07/30/2021
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