Individual
MR. JONATHAN BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4105 HOSPITAL ROAD SUITE 103, PASCAGOULA, MS 39581
(228) 762-9814
Mailing address
4105 HOSPITAL ROAD SUITE 103, PASCAGOULA, MS 39581
(228) 762-9814
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00542
MS
Other
Enumeration date
03/16/2021
Last updated
08/27/2021
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