| Dr Nathan P Shappley, MD | |
|
101 Aldersgate Cir, Hattiesburg, MS 39402-1301 | |
| (601) 261-5800 | |
| (601) 261-5813 |
| Full Name | Dr Nathan P Shappley |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 101 Aldersgate Cir, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164446522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 06028 (Mississippi) | Primary |
| Entity Name | Southern Urology, P. A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316065436 PECOS PAC ID: 0042287575 Enrollment ID: O20110405000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan P Shappley, MD 101 Aldersgate Cir, Hattiesburg, MS 39402-1301 Ph: (601) 261-5800 | Dr Nathan P Shappley, MD 101 Aldersgate Cir, Hattiesburg, MS 39402-1301 Ph: (601) 261-5800 |
Dr. Hal T Liddell, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 139 Fairfield Dr, Hattiesburg, MS 39402 Phone: 601-450-2401 Fax: 601-450-2433 | |
John Moore, Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-261-3587 | |
Sean Philip Douglas, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-579-5240 | |
Bradley N Secrest, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-261-3587 | |
Woodie J Wilson Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-268-5888 Fax: 601-261-3587 | |
David C Stout, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 4 Pebble Crk, Hattiesburg, MS 39402 Phone: 601-261-9323 |