ETHAN B WORTHINGTON

WIGGINS, MS
NPI1558556621
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  21272)
Enumeration Date2007-09-11
Last Update Date2016-08-23
Business Address
-- ETHAN B WORTHINGTON D.O.
805 HALL ST
WIGGINS, MS 39577-2110
Phone number: 601-928-4412
Mailing Address
-- ETHAN B WORTHINGTON D.O.
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-928-4412
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