Individual
MARY H HUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, PHD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5444
(601) 579-5390
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5488
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R503363
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115187
—
MS
05
—
1419851
—
LA
Enumeration date
08/17/2006
Last updated
07/08/2007
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