Glover, Porter Hudson

Glover, Porter Hudson is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Glover, Porter Hudson can be contacted via phone (601) 268-5680.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5680
Fax: (601) 268-5778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10047200 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 302392 Louisiana
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25780 Mississippi

Profile Details

NPI number 1053755652
LBN Legal business name Glover, Porter Hudson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2013
Last updated Jul 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053755652 NPPES
Mississippi MEDICAID 08701856

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