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William Brent Bowling, M.D.

Pediatrics in Hattiesburg, MS. Individual provider (NPI-1).

NPI number1982803862
StatusActive
Last updated in NPPESJul 22, 2020

Details

NPI
1982803862
Entity type
Individual (NPI-1)
Name
William Brent Bowling
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2007
Certification date
Jul 22, 2020
Last updated
Jul 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics20264MSYes

Practice location

101 Medical Park
Hattiesburg, MS 39401

Phone 601-268-3735 · Fax 601-579-5240

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Phone 601-268-3735 · Fax 601-579-5240

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