Individual provider · NPI-1

Katherine P Alexis, MD

Family Medicine · Hattiesburg, MS

NPI number1861416042
StatusActive
Last updated in NPPESJul 17, 2020

Details

NPI
1861416042
Entity type
Individual (NPI-1)
Name
Katherine P Alexis
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jul 27, 2006
Certification date
Jul 17, 2020
Last updated
Jul 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine15464MSYes

Practice location

5192 Old Highway 11 Ste 2
Hattiesburg, MS 39402-6222

Phone 601-268-0929 · Fax 601-261-0508

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Phone 601-268-0929 · Fax 601-579-5240

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