Individual
WILLIAM H GULLUNG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 ASBURY CIR, HATTIESBURG, MS 39402-1302
(601) 268-5252
(601) 268-5190
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5252
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
08851
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115106
—
MS
01
—
070013329
RAILROAD MEDICARE
—
05
—
1500682
—
LA
01
—
1559129
AMERICAN ADMIN GROUP
MS
Enumeration date
08/21/2006
Last updated
08/23/2016
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