Carter Kenneth Derrick Guice Iii, | |
415 S 28th Ave, Hattiesburg, MS 39401-7283 | |
(601) 261-3606 | |
(601) 579-5240 |
Full Name | Carter Kenneth Derrick Guice Iii |
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Gender | Male |
Speciality | Anesthesiology |
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 |
---|---|---|---|
1891285896 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 29955 (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 |
Mailing Address | Practice Location Address |
---|---|
Carter Kenneth Derrick Guice Iii, 415 S 28th Ave, Hattiesburg, MS 39401-7283 Ph: (601) 261-3606 | Carter Kenneth Derrick Guice Iii, 415 S 28th Ave, Hattiesburg, MS 39401-7283 Ph: (601) 261-3606 |
Carl Scott Ramsey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 | |
Kristen Sicard Spruill, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240 | |
Dr. D Enise W Reynolds, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3688 Veterans Memorial Dr, Suite 200, Hattiesburg, MS 39401 Phone: 601-554-7402 Fax: 601-554-7488 | |
Jonathan H.s. Rayburn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1 Lincoln Pkwy Ste 103, Hattiesburg, MS 39402 Phone: 601-261-1600 Fax: 601-264-5133 | |
Dr. Larry S Gilliam, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5383 | |
Justin Pipkins, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-261-3606 Fax: 601-579-5240 | |
William B Strong Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 100 Fairlane Dr, Hattiesburg, MS 39402 Phone: 601-268-3508 |