Liddell, Thompson Worth
Liddell, Thompson Worth is an individual health care provider with primary practice located at 4 Medical Blvd , Hattiesburg MS 39401-7230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Liddell, Thompson Worth can be contacted via phone (601) 579-5444.Contact Information
Primary practice address
4 Medical Blvd
Hattiesburg MS 39401-7230
Phone: (601) 579-5444
Fax: (601) 579-3083
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 24852 | Mississippi |
Profile Details
| NPI number | 1851703201 |
|---|---|
| LBN Legal business name | Liddell, Thompson Worth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2014 |
| Last updated | Jul 31st, 2020 - about 5 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 | 1851703201 | NPPES |
| Mississippi | MEDICAID | 01657556 |
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