Childress, Curtis Scott
Childress, Curtis Scott is an individual health care provider with primary practice located at 107 Millsaps Dr , Hattiesburg MS 39402. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Childress, Curtis Scott can be contacted via phone (601) 268-5131.Contact Information
Primary practice address
107 Millsaps Dr
Hattiesburg MS 39402
Phone: (601) 268-5131
Fax: (601) 268-5138
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | 16507 | Mississippi |
| Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery | 207YX0905X | 16507 | Mississippi |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 16507 | Mississippi |
Profile Details
| NPI number | 1922069921 |
|---|---|
| LBN Legal business name | Childress, Curtis Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Aug 25th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922069921 | NPPES |
| Mississippi | MEDICAID | 007270080 |
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