Individual
MR. DAVID MALLORY PLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3700 HARDY ST STE 10, HATTIESBURG, MS 39402-1553
(601) 602-2014
Mailing address
510 N 38TH AVE APT 5, HATTIESBURG, MS 39401-5719
(601) 606-6869
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R887697
MS
363LF0000X
Family Nurse Practitioner
Primary
R887697
MS
Other
Enumeration date
07/28/2012
Last updated
07/28/2012
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