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Contact Information

KRISTEN S SPRUILL, MD
415 S 28TH AVE
HATTIESBURG, MS39401
 Phone: 601-261-3606
 Fax: 601-579-5240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for KRISTEN S SPRUILL · (Female)

NPI # 1023420478
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2014
Last updated 07/09/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 25793
  • MS Medicaid 01407364
Hospital affiliation(s)
  • FORREST GENERAL HOSPITAL - (Acute Care)
    6051 US HIGHWAY 49
    HATTIESBURG, MS 39404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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