Individual
DAVID ALLEN NORTHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 864-8454
(228) 865-1457
Mailing address
PO BOX 1810, GULFPORT, MS 39502
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18280
MS
208M00000X
Hospitalist Physician
18280
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05308309
—
MS
Enumeration date
07/31/2006
Last updated
09/28/2023
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