Aycock, Larry B
Aycock, Larry B is an individual health care provider with primary practice located at 103 Asbury Cir , Hattiesburg MS 39402-1302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Aycock, Larry B can be contacted via phone (601) 268-5200.Contact Information
Primary practice address
103 Asbury Cir
Hattiesburg MS 39402-1302
Phone: (601) 268-5200
Fax: (601) 268-5202
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 05242 | Mississippi |
Profile Details
| NPI number | 1740238211 |
|---|---|
| LBN Legal business name | Aycock, Larry B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 29th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740238211 | NPPES |
| Mississippi | MEDICAID | 00013655 |
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