Individual
ANDREW MERLAN NIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 S 28TH AVE, HATTIESBURG, MS 39402-3110
(601) 579-3310
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
23444
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01003009
—
MS
Enumeration date
07/06/2011
Last updated
08/25/2023
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