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Gerald B Broussard JR.
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NPI Number Detailed Information
Provider Information:
Name: | Gerald B Broussard JR. |
Gender: | M |
Provider License Number If Given: | R2826 |
NPI Information:
NPI: | 1104117688 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 5/2/2011 |
Last Update Date: | 7/21/2022 |
Provider Business Mailing Address:
Address: | 5000 W 4TH ST Hattiesburg, MS 39402 |
Phone Number: | 8004948260 |
Fax Number: |
Provider Business Practice Location Address:
Address: | 6051 U S HIGHWAY 49 Hattiesburg, MS 39401 |
Phone Number: | 8004948260 |
Fax Number: | 8593680437 |
Provider Taxonomy:
Primary: | 207RA0401X |
Secondary (if any): | 2085R0202X |
State: | MS |
Top Doctors in MS
About Gerald B Broussard JR.
Gerald B Broussard JR.( GERALD B BROUSSARD JR.) is An Internal Medicine Physician in Hattiesburg, MS.
The NPI Number for Gerald B Broussard JR. is 1104117688.
The current location address for Gerald B Broussard JR. is 6051 U S HIGHWAY 49 Hattiesburg, MS 39401 and the contact number is 8004948260 and fax number is .
The mailing address for Gerald B Broussard JR. is 5000 W 4TH ST Hattiesburg, MS 39402- 8004948260 (mailing address contact number - 8004948260).
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Provider Business Location on Map
FAQs:
What is the NPI Number for Gerald B Broussard JR.?
Answer: The NPI Number for Gerald B Broussard JR. is 1104117688
Where is Gerald B Broussard JR. located?
Answer: Gerald B Broussard JR. is located at 6051 U S HIGHWAY 49 Hattiesburg, MS 39401.
What is the specialty for Gerald B Broussard JR.?
Answer: The Specialty of Gerald B Broussard JR. is An Internal Medicine Physician.
Are there any online reviews for Gerald B Broussard JR.?
Answer: Not yet!
Are there any other health care providers in Hattiesburg, MS?
Answer: Yes, there are given below...
Medicare Physician & Other Practitioners
Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Gerald B Broussard JR.
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Gerald B Broussard JR.in Other Directories
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