Individual
ARTHUR LAMAR GLAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3800 JAMESTOWN RD, HATTIESBURG, MS 39402-2335
(601) 261-0455
Mailing address
3800 JAMESTOWN RD, HATTIESBURG, MS 39402-2335
(601) 261-0455
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
09704
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010502
—
MS
01
—
1432799
UNITED HEALTHCARE
MS
05
—
1500674
—
LA
01
—
1558943
AMERICAN ADMIN GROUP
MS
01
—
160007642
RAILROAD MEDICARE
—
05
—
1758183
—
LA
Enumeration date
08/09/2006
Last updated
05/10/2023
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