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Ethan B Worthington, DO
Family Medicine Physician in Wiggins, Mississippi
NPI 1558556621

Ethan B Worthington is a Family Medicine Physician based in Hattiesburg, MS. Ethan B Worthington practices in Wiggins, MS and has the professional credentials of DO. The NPI Number for Ethan B Worthington is 1558556621 and holds a License No. 21272 (Mississippi).

The current practice location address for Ethan B Worthington is 805 Hall St, Wiggins, MS and can be reached out via phone at 601-928-4412 and via fax at 601-928-4792.

Location: 805 Hall St, Wiggins, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558556621
Provider Name
Ethan B Worthington
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
805 Hall St, Wiggins, MS, 39401-7246
Phone Number
601-928-4412
Fax Number
601-928-4792
Provider Enumeration Date
09/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6041733 01 MS HEALTHSPRING
9912622 01 MS AETNA
P00896972 01 MS RAILROAD MEDICARE
06001526 05 MS
institution
Provider Business Practice Location Address Details
Address
805 Hall St
City
Wiggins
State
Mississippi
Zip
39577-2110
Phone Number
601-928-4412
Fax Number
601-928-4792
person
Provider Business Mailing Address Details
Address
805 Hall St
City
Wiggins
State
Mississippi
Zip
39577-2110
Phone Number
601-928-4412
Fax Number
601-928-4792
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
21272 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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