Wingfield, Angela Booth

Wingfield, Angela Booth is an sole proprietor health care provider with primary practice located at 11295 E Taylor Rd , Gulfport MS 39503-4197. She recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as her primary health care specialty. Wingfield, Angela Booth can be contacted via phone (228) 864-3300.

Contact Information

Primary practice address
11295 E Taylor Rd Gulfport MS 39503-4197
Phone: (228) 864-3300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 024878 Louisiana
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 1731 Mississippi

Profile Details

NPI number 1962494294
LBN Legal business name Wingfield, Angela Booth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Dec 12th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1962494294 NPPES
Other 25D1013637 CLIA
MEDICAID 00874879 CLIA

Popular Providers