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Contact Information

EVERETT R HENDERSON III, MD
6051 U S HIGHWAY 49
HATTIESBURG, MS39401-7200
 Phone: 601-288-3440
 Fax: 601-288-3451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal-Perinatal Medicine

2080N0001X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for EVERETT R HENDERSON III · (Male)

NPI Number 1609904515
Status Active
Credentials MD
Entity Individual
Enumeration date 03/01/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 14669
  • MS Medicaid 0117106
Hospital affiliation(s) Not Available
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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