Tatum, Virginia Angelico

Tatum, Virginia Angelico is an sole proprietor health care provider with primary practice located at 1623 S 28Th Ave , Hattiesburg MS 39402-3110. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Tatum, Virginia Angelico can be contacted via phone (601) 261-5500.

Contact Information

Primary practice address
1623 S 28Th Ave Hattiesburg MS 39402-3110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2791-93 Mississippi

Profile Details

NPI number 1215144795
LBN Legal business name Tatum, Virginia Angelico
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Jul 8th, 2007 - about 18 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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