Doctor Name: | DR. PAUL DRAMBAREAN |
NPI Number: | 1033344734 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 415 S 28th Ave Hattiesburg, MS - 394017246 |
Business Phone Number: | 6012884329 |
Business Fax Number: | 6012883191 |
Mailing Address: | 415 S 28th Ave, HATTIESBURG |
State: | MS |
Postal Code: | 394017246 |
Phone Number: | 6015795463 |
Fax Number: | 6015795240 |
NPI Enumeration Date: | 05/25/2009 |
NPI Last Update Date: | 01/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |