Individual
DR. SAMUEL LOUIS PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5601
Mailing address
2080 S FRONTAGE RD, SUITE 100, VICKSBURG, MS 39180-5328
(601) 262-1000
(601) 262-1211
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21731
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02559593
—
MS
Enumeration date
07/07/2009
Last updated
09/08/2014
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