Individual
MARIA C SORIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 THORNHILL DR, HATTIESBURG, MS 39402-1548
(601) 261-3737
(601) 261-3899
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3737
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14262
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115495
—
MS
01
—
1559256
AMERICAN ADMIN GROUP
MS
05
—
1736741
—
LA
Enumeration date
08/29/2006
Last updated
07/14/2020
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