Individual
ERIC J WYBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1133 45TH AVE, GULFPORT, MS 39501-2564
(228) 865-7299
Mailing address
1133 45TH AVE, GULFPORT, MS 39501
(228) 865-7299
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
12046
MS
Other
Enumeration date
02/24/2006
Last updated
10/19/2018
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