Individual
OMOLARA OTAIGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6600 U S HIGHWAY 98, SUITE B, HATTIESBURG, MS 39402-8441
(601) 261-2727
(601) 261-9847
Mailing address
6600 U S HIGHWAY 98, SUITE B, HATTIESBURG, MS 39402-8441
(601) 261-2727
(601) 261-9847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17878
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126731
—
MS
Enumeration date
04/18/2006
Last updated
12/12/2014
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