Individual
ELISABETH JONES HALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1721 MEDICAL PARK DR STE 200, BILOXI, MS 39532-2105
(228) 248-2572
(228) 396-0687
Mailing address
PO BOX 8873, BILOXI, MS 39535-8873
(228) 248-2572
(228) 396-0687
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
15807
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120595
—
MS
Enumeration date
09/15/2006
Last updated
07/08/2007
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