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Individual

BERTIN C CHEVIS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
149 DRINKWATER RD, SUITE C, BAY ST LOUIS, MS 39520-1658
(228) 467-8989
(228) 467-3805
Mailing address
10000 CAIN RD, BAY ST LOUIS, MS 39520-8825

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08318
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00011265
MS
Enumeration date
05/04/2006
Last updated
07/08/2007
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