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Individual

DR. ALTAF A JAMAL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
4105 HOSPITAL ST, STE 103, PASCAGOULA, MS 39581-5312
(228) 762-8712
(228) 762-2261
Mailing address
4105 HOSPITAL ST, STE 103, PASCAGOULA, MS 39581-5312
(228) 762-8712
(228) 762-2261

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16444
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120852
MS
Enumeration date
03/07/2006
Last updated
07/08/2007
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