Gillespie, Dorothy

Gillespie, Dorothy is an individual health care provider with primary practice located at 307 Katie Avenue , Hattiesburg MS 39401-4336. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Gillespie, Dorothy can be contacted via phone (601) 544-4515.

Contact Information

Primary practice address
307 Katie Avenue Hattiesburg MS 39401-4336
Fax: (601) 544-8327
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 09056 Mississippi

Profile Details

NPI number 1922147065
LBN Legal business name Gillespie, Dorothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
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 1922147065 NPPES
Mississippi MEDICAID 00010959

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