Mauldin, Mark

Mauldin, Mark is an individual health care provider with primary practice located at 3109 Bienville Blvd , Ocean Springs MS 39564-4361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mauldin, Mark can be contacted via phone (228) 818-1111.

Contact Information

Primary practice address
3109 Bienville Blvd Ocean Springs MS 39564-4361
Phone: (228) 818-1111
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MS14371 Mississippi

Profile Details

NPI number 1508917147
LBN Legal business name Mauldin, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Nov 11th, 2008 - about 16 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 1508917147 NPPES
Mississippi MEDICAID 00115752
Mississippi Other 646000515
Mississippi Other 646000515
Mississippi MEDICAID 009926495
Mississippi Other 930027001

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