Individual
CHARLES EDWIN GUICE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 MILLSAPS DR, HATTIESBURG, MS 39402
(601) 268-5131
(601) 268-5138
Mailing address
PO BOX 17829, HATTIESBURG, MS 39404-7829
(601) 268-5131
(601) 268-5138
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
08350
MS
207YX0602X
Otolaryngic Allergy Physician
08350
MS
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
08350
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015250
—
MS
Enumeration date
03/29/2006
Last updated
07/12/2013
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