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Contact Information

EVAN J PICKUS, MD
310 ELLIS ST
CARTHAGE, MS39051-3809
 Phone: 601-740-2785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for EVAN J PICKUS · (Male)

NPI # 1073545554
Status Active
Credentials MD
Entity Individual
Enumeration date 07/07/2006
Last updated 12/30/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 17806
Hospital affiliation(s)
  • PIONEER COMMUNITY HOSPITAL OF CHOCTAW- CAH - (Critical Access)
    8613 MS HWY 12
    ACKERMAN, MS 39735
  • WINSTON MEDICAL CENTER & SWINGBED - (Acute Care)
    562 EAST MAIN STREET
    LOUISVILLE, MS 39339
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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