Archer, Brian Scott

Archer, Brian Scott is an individual health care provider with primary practice located at 6051 Highway 49 , Hattiesburg MS 39401-7200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Archer, Brian Scott can be contacted via phone (601) 288-7000.

Contact Information

Primary practice address
6051 Highway 49 Hattiesburg MS 39401-7200
Phone: (601) 288-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 13769 Mississippi

Profile Details

NPI number 1902834690
LBN Legal business name Archer, Brian Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902834690 NPPES
Mississippi MEDICAID 00113217

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