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Individual

ALISHA H. WARE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4577 13TH ST, GULFPORT, MS 39501-2516
(228) 864-2752
(228) 214-4206
Mailing address
4577 13TH ST, GULFPORT, MS 39501-2516
(228) 864-2752
(228) 214-4206

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
025477
LA
207V00000X
Obstetrics & Gynecology Physician
21594
MS
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.025477
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578991
LA
05
1670895
TX
Enumeration date
07/19/2006
Last updated
06/14/2024
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