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Individual

THOMPSON WORTH LIDDELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4 MEDICAL BLVD, HATTIESBURG, MS 39401-7230
(601) 579-5444
(601) 579-3083
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5444
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
24852
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01657556
MS
Enumeration date
05/20/2014
Last updated
07/31/2020
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