Individual
DR. DIEGO FERNANDO ALCIVAR FRANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5800
(601) 261-3530
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5800
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R2689
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
26634
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03222340
—
MS
Enumeration date
07/19/2011
Last updated
07/14/2020
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