Individual
CARTER KENNETH DERRICK GUICE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7283
(601) 261-3606
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7283
(601) 261-3606
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
29955
MS
Other
Enumeration date
05/15/2018
Last updated
09/01/2022
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