Individual
HORACE H BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5166
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
06693
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016282
—
MS
05
—
1419699
—
LA
01
—
640507572WT
AMERICAN ADMIN GROUP
MS
01
—
P00139785
RAILROAD MEDICARE
—
Enumeration date
07/15/2006
Last updated
08/23/2016
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