| Doctor Name: | DR. ELLEN K HADDAD |
| NPI Number: | 1093972929 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | T-2438 |
| Business Practice Address: | 300 Rawls Dr Suite 1000 Mccomb, MS - 396482877 |
| Business Phone Number: | 6012504210 |
| Business Fax Number: | 6012504212 |
| Mailing Address: | 300 Rawls Dr, Suite 1000 MCCOMB |
| State: | MS |
| Postal Code: | 396482877 |
| Phone Number: | 6012504210 |
| Fax Number: | 6012504212 |
| NPI Enumeration Date: | 05/19/2008 |
| NPI Last Update Date: | 07/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | T-2438 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MS |
| 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. |