Liddell, Thompson Worth

Liddell, Thompson Worth is an individual health care provider with primary practice located at 4 Medical Blvd , Hattiesburg MS 39401-7230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Liddell, Thompson Worth can be contacted via phone (601) 579-5444.

Contact Information

Primary practice address
4 Medical Blvd Hattiesburg MS 39401-7230
Phone: (601) 579-5444
Fax: (601) 579-3083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 24852 Mississippi

Profile Details

NPI number 1851703201
LBN Legal business name Liddell, Thompson Worth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2014
Last updated Jul 31st, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851703201 NPPES
Mississippi MEDICAID 01657556

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