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CURTIS SCOTT CHILDRESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
107 MILLSAPS DR, HATTIESBURG, MS 39402
(601) 268-5131
(601) 268-5138
Mailing address
107 MILLSAPS DR, HATTIESBURG, MS 39402-1348
(601) 268-5131
(601) 268-5138

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
16507
MS
207YX0602X
Otolaryngic Allergy Physician
16507
MS
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
16507
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007270080
MS
Enumeration date
03/29/2006
Last updated
08/25/2020
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