Individual
ELIZABETH REAGAN FRANCIS ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 THOMPSON PARK, HATTIESBURG, MS 39401-8202
(601) 579-3130
(601) 544-3688
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-3130
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22149
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05735373
—
MS
01
—
6116388
HEALTHSPRING
MS
Enumeration date
03/20/2009
Last updated
07/21/2020
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