Search › Mississippi › 207R00000X
Alexey Fomin, M.D., PH.D
NPI 1700211141 · on the registry since 2013
Practice
- Address
- 104 Millsaps Dr
Hattiesburg, MS 39402 - Phone
- (601) 288-7500
- Fax
- (601) 268-5179
- Organisation at this address
- Hattiesburg Clinic Pa
Hattiesburg Clinic PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- KY, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi