Individual
CHARLES ANDREW OUZTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
294 E LAYFAIR DR, FLOWOOD, MS 39232-9526
(601) 414-6520
(601) 414-6568
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 414-6520
(601) 414-6568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22581
MS
208000000X
Pediatrics Physician
22581
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06571268
—
MS
01
—
P01454801
RAILROAD MEDICARE PTAN
MS
Enumeration date
07/06/2009
Last updated
08/19/2024
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