Individual
PETER MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
33036
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2022
Last updated
04/07/2026
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