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1174546345
BERTHOLD BEISEL
COLUMBIA, MS
NPI
1174546345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 17957)
Enumeration Date
2006-07-26
Last Update Date
2016-08-23
Business Address
-- BERTHOLD BEISEL MD
502 BROAD ST
COLUMBIA, MS 39429-3037
Phone number: 601-736-8282
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Mailing Address
-- BERTHOLD BEISEL MD
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-736-8282
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