Whalio Doctors

NPI 1790926780

Elizabeth Reagan Francis Rose, MD

Practitioner Dermatology Physician Hattiesburg, MS

Practice location

Address
3 Thompson Park, Hattiesburg, MS 39401-8202
Phone
(601) 579-3130
Fax
(601) 544-3688
Mailing address
415 S 28th Ave, Hattiesburg, MS 39401-7246

Registered specialties

Dermatology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 22149 (MS)

Registry record

NPI
1790926780
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Mar 2009
Record last updated
21 Jul 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.