Taylor Joseph Mabry, MD | |
415 S 28th Ave, Hattiesburg, MS 39401-7246 | |
(601) 579-5210 | |
Not Available |
Full Name | Taylor Joseph Mabry |
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Gender | Male |
Speciality | Allergy & Immunology |
Location | 415 S 28th Ave, 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 |
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1154819415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207K00000X | Allergy & Immunology | 27668 (Mississippi) | Primary |
Entity Name | Hattiesburg Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Entity Name | State Of Mississippi-university Of Mississippi Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575 |
Mailing Address | Practice Location Address |
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Taylor Joseph Mabry, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000 | Taylor Joseph Mabry, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 579-5210 |
Marlee Wadsworth, MD Allergy & Immunology Medicare: Medicare Enrolled Practice Location: 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402 Phone: 601-261-1800 Fax: 601-261-1801 | |
Blake Olmsted, M.D. Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 6414 U S Highway 98 Ste 80, Hattiesburg, MS 39402 Phone: 601-261-1800 Fax: 601-261-1801 |