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Individual

BITA GHAFFARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4433 LEISURE TIME DR., DIAMONDHEAD, MS 39525-3334
(228) 586-9229
(228) 586-9230
Mailing address
149 DRINKWATER BLVD., BAY ST. LOUIS, MS 39520
(228) 467-8676
(228) 467-8674

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19006
MS

Other

Enumeration date
03/29/2006
Last updated
12/19/2013
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