Individual
JOHN M GUICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5888
(601) 261-3587
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5888
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
11361
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123945
—
MS
05
—
1419729
—
LA
01
—
640507572ZF
AMERICAN ADMIN GROUP
MS
01
—
P00249189
RAILROAD MEDICARE
—
Enumeration date
08/09/2006
Last updated
08/23/2016
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