Dr Austin Norris Southern, MD | |
101 Medical Park, Hattiesburg, MS 39401-9042 | |
(601) 579-3000 | |
Not Available |
Full Name | Dr Austin Norris Southern |
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Gender | Male |
Speciality | Pediatrics |
Location | 101 Medical Park, 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 |
---|---|---|---|
1740867340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 33270 (Mississippi) | Secondary |
208000000X | Pediatrics | T-4297 (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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Dr Austin Norris Southern, MD 304 Planters Grv, Ridgeland, MS 39157-2009 Ph: (601) 506-9907 | Dr Austin Norris Southern, MD 101 Medical Park, Hattiesburg, MS 39401-9042 Ph: (601) 579-3000 |
Megan Dillon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4210 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-261-3500 Fax: 601-579-5240 | |
Lowry C Stanford Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 39 Franklin Rd, Ste 220, Hattiesburg, MS 39402 Phone: 601-296-3050 | |
Joshua Ryan Allen, Pediatrics Medicare: Medicare Enrolled Practice Location: 39 Franklin Rd Ste 220, Hattiesburg, MS 39402 Phone: 601-296-3050 Fax: 601-296-3060 | |
Damea B Benton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Medical Park, Hattiesburg, MS 39401 Phone: 601-579-3000 Fax: 601-579-5240 | |
Dr. Elizabeth M Felder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 102 Medical Park, Hattiesburg, MS 39401 Phone: 601-261-5159 Fax: 601-545-1740 | |
Jeffrey C Williams, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2899 West 4th Street, Hattiesburg, MS 39406 Phone: 601-266-5390 Fax: 601-266-4205 | |
Dr. John Wells Gaudet, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 39 Franklin Rd, Ste. 200, Hattiesburg, MS 39402 Phone: 601-296-3050 Fax: 601-296-3013 |