Calvin A Washington M.D.

NPI 1063403491 - Family Medicine - 207Q00000X

NPI Details
NPI 1063403491
Gender Male
Enumeration Date 11/03/2005
Last Updated 02/02/2015
Entity Type Individual
Active Over 12 years ago
Practice Location
WIGGINS MS, 39577-2110, US
Phone (601) 928-4412
Fax (601) 928-2479
Business Location
415 S 28TH AVE
HATTIESBURG MS, 39401-7246, US
Phone (601) 579-5463
Fax (601) 579-5240
Taxonomy Code 207Q00000X
License State Mississippi
License Number 17313
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According to our database, Calvin A Washington M.D. NPI is 1063403491, taxonomy code is 207Q00000X and license number is 17313, license state is located at Mississippi. Calvin A Washington M.D. physically located at 805 Hall St, Wiggins MS, 39577-2110. NPI Number Calvin A Washington M.D. has the Individual type.

1063403491 NPI number is provided on an as is basis without warranty of any kind. 1063403491 is maintained by the National Plan & Provider Enumeration System. The contents of Calvin A Washington M.D. are for informational purposes only.