Individual
WALID GERGI YOUNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5212
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5650
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
19660
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05501206
—
MS
05
—
1028282
—
LA
01
—
7661946
AETNA
—
Enumeration date
02/09/2007
Last updated
07/22/2020
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