Active NPI 1548482482 Individual Practitioner Male Practitioner

Dr. Robert William Walters , MD

Dermatology • Laurel, MS

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Walters, MD is a certified Dermatology practicing in Laurel, MS. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Walters delivers high-quality medical care to the local community at 136 S 15TH AVE.

Dr. Walters is affiliated with Hattiesburg Clinic Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, destruction of skin growth, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

136 S 15th Ave

Laurel, MS 394404124

Telephone 6014288428

Associated Practice Facility / Clinic

🏢 Edward Robert Cohen Facility NPI 1437327574

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Laurel, MS

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs Matches City Avg

City Avg: 23.0 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Laurel, MS (91 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Walters (23 Years) 23 Yrs

Laurel Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,895	258	$45.00	$6.13
17000 Destruction of skin growth	527	334	$271.00	$43.13
99213 Established patient office or other outpatient visit, typically 15 minutes	451	305	$135.00	$86.92
11102 Tangential biopsy of single skin lesion	405	301	$264.00	$80.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	320	237	$190.00	$123.21
11103 Biopsy of related skin growth, each additional growth	194	107	$144.00	$45.87
17110 Destruction of up to 14 skin growths	189	166	$405.00	$101.56
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	126	105	$38.00	$16.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$245.00	$160.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$165.00	$105.24
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	92	81	$1390.00	$431.04
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	90	72	$643.00	$135.79
17004 Destruction of precancer skin growth, 15 or more growths	90	58	$652.00	$155.29
69100 Biopsy of ear	40	34	$297.00	$62.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	40	12	$61.00	$13.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	31	14	$5.00	$0.96
11104 Punch biopsy, first skin growth	28	27	$332.00	$112.93
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	27	24	$852.00	$181.13
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	21	$459.00	$120.94
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	23	23	$729.00	$159.79
67810 Biopsy of eyelid	22	19	$694.00	$156.47
40490 Biopsy of lip	22	19	$477.00	$106.89
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	21	20	$2128.00	$455.61
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	21	20	$397.00	$75.71
11900 Injection into skin growth, 1-7 growths	20	13	$185.00	$40.16
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	20	20	$811.00	$218.99
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	18	$666.00	$118.73
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	18	$1176.00	$364.50
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	16	16	$1063.00	$347.15
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	14	14	$782.00	$168.15
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	13	$645.00	$119.69
11200 Removal of skin tag, 1-15 skin tags	12	12	$218.00	$64.93
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$1035.00	$269.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	623	124	$40.70	$5.99
99213 Established patient office or other outpatient visit, typically 15 minutes	229	209	$146.18	$83.04
17000 Destruction of skin growth	187	161	$236.35	$42.93
11102 Tangential biopsy of single skin lesion	185	173	$248.43	$82.33
11103 Biopsy of related skin growth, each additional growth	100	63	$140.30	$45.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$202.50	$101.96
17110 Destruction of up to 14 skin growths	65	62	$382.72	$97.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$246.22	$154.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	50	$192.07	$118.38
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	37	33	$635.14	$124.96
17004 Destruction of precancer skin growth, 15 or more growths	33	26	$641.94	$152.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	23	23	$960.91	$263.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$105.81	$51.74
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	21	$1085.33	$252.85
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	20	20	$1390.00	$408.36
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	20	18	$645.00	$134.35
69100 Biopsy of ear	17	16	$285.35	$59.05
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$140.00	$66.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	155	43	$25.00	$6.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	115	115	$216.77	$102.54
17000 Destruction of skin growth	69	59	$136.00	$43.94
11102 Tangential biopsy of single skin lesion	63	56	$199.29	$88.08
99213 Established patient office or other outpatient visit, typically 15 minutes	49	32	$160.94	$82.77
11103 Biopsy of related skin growth, each additional growth	32	22	$106.88	$46.67
17110 Destruction of up to 14 skin growths	22	21	$223.45	$101.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,100	477	$12.28	$6.08
99213 Established patient office or other outpatient visit, typically 15 minutes	1,226	840	$177.11	$88.36
17000 Destruction of skin growth	822	569	$126.27	$55.34
11102 Tangential biopsy of single skin lesion	266	235	$196.80	$95.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	184	162	$108.19	$54.04
17110 Destruction of up to 14 skin growths	112	104	$214.78	$106.87
17004 Destruction of precancer skin growth, 15 or more growths	95	71	$315.94	$158.04
11103 Biopsy of related skin growth, each additional growth	47	37	$100.71	$50.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	27	$342.00	$156.83
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	26	26	$925.50	$462.86
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	22	22	$522.81	$130.70
69100 Biopsy of ear	19	17	$189.60	$82.41
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$283.58	$130.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,998	510	$13.75	$5.69
17000 Destruction of skin growth	946	607	$150.68	$51.30
99213 Established patient office or other outpatient visit, typically 15 minutes	784	558	$135.38	$72.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	690	511	$201.92	$106.27
11102 Tangential biopsy of single skin lesion	505	396	$194.82	$91.38
17004 Destruction of precancer skin growth, 15 or more growths	157	112	$325.48	$152.86
17110 Destruction of up to 14 skin growths	148	129	$208.54	$104.18
11103 Biopsy of related skin growth, each additional growth	148	103	$64.61	$50.60
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	90	79	$1100.25	$464.55
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	69	56	$515.39	$134.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	44	$349.69	$120.33
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	47	45	$841.83	$392.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$202.00	$105.41
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	43	37	$332.73	$138.18
69100 Biopsy of ear	33	31	$193.65	$76.55
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	28	28	$484.93	$124.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$81.42	$44.24
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	14	$755.82	$377.03
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$354.00	$171.31
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	13	12	$272.00	$119.02
40490 Biopsy of lip	11	11	$246.00	$121.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,196	567	$14.00	$5.44
99213 Established patient office or other outpatient visit, typically 15 minutes	1,028	702	$135.00	$71.86
17000 Destruction of skin growth	1,019	680	$153.00	$52.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	689	526	$200.00	$105.34
11102 Tangential biopsy of single skin lesion	462	368	$195.00	$87.76
17004 Destruction of precancer skin growth, 15 or more growths	218	146	$327.00	$147.64
17110 Destruction of up to 14 skin growths	194	172	$208.00	$103.72
11103 Biopsy of related skin growth, each additional growth	157	98	$62.00	$50.62
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	85	79	$1106.00	$466.92
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	66	53	$515.00	$132.78
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	39	34	$332.00	$138.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$202.00	$105.89
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	33	$461.11	$124.33
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	35	$842.00	$402.01
69100 Biopsy of ear	33	30	$194.00	$85.00
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	29	27	$484.00	$125.20
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	17	14	$272.00	$123.76
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	11	$500.00	$392.14
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	12	$354.00	$140.20
40490 Biopsy of lip	14	14	$246.00	$123.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$81.00	$43.53
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$139.00	$74.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,777	541	$14.00	$5.36
99213 Established patient office or other outpatient visit, typically 15 minutes	1,238	858	$135.00	$73.90
17000 Destruction of skin growth	986	668	$153.00	$53.32
11100 Biopsy of single growth of skin and/or tissue	600	485	$195.00	$102.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	310	$200.00	$109.17
11101 Biopsy of each additional growth of skin and/or tissue	263	167	$62.00	$33.74
17004 Destruction of precancer skin growth, 15 or more growths	126	91	$327.00	$146.72
17110 Destruction of up to 14 skin growths	113	104	$208.00	$109.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$202.00	$109.30
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	90	85	$1106.00	$488.26
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	74	51	$332.00	$145.28
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	64	57	$515.00	$139.23
69100 Biopsy of ear	36	35	$194.00	$79.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	25	$468.00	$126.95
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	25	25	$842.00	$418.62
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	24	24	$484.00	$136.94
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$139.00	$76.02
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	23	17	$272.00	$121.40
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	22	14	$455.00	$398.49
40490 Biopsy of lip	18	18	$246.00	$131.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$81.00	$44.24
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	17	14	$278.00	$80.86
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	14	$265.00	$111.41
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$444.00	$233.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,436	507	$14.00	$5.38
99213 Established patient office or other outpatient visit, typically 15 minutes	1,021	715	$135.00	$69.97
17000 Destruction of skin growth	949	637	$153.00	$49.62
11100 Biopsy of single growth of skin and/or tissue	556	454	$195.00	$91.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	372	305	$200.00	$103.33
11101 Biopsy of each additional growth of skin and/or tissue	314	166	$62.00	$31.95
17110 Destruction of up to 14 skin growths	168	142	$208.00	$100.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$202.00	$104.93
17004 Destruction of precancer skin growth, 15 or more growths	100	75	$327.00	$144.51
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	98	95	$1106.00	$460.34
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	78	69	$515.00	$131.17
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	76	55	$332.00	$130.67
69100 Biopsy of ear	38	34	$194.00	$66.13
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	37	$468.00	$116.93
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	36	36	$842.00	$379.50
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	30	30	$484.00	$123.69
99202 New patient office or other outpatient visit, typically 20 minutes	30	30	$139.00	$72.13
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	30	25	$278.00	$71.48
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	27	26	$444.00	$224.07
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	26	21	$272.00	$108.07
40490 Biopsy of lip	24	22	$246.00	$117.55
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	14	$354.00	$122.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$81.00	$41.82

Medical Specialties & State Licenses

CMS Verified: 2023-11-29

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License MS 31916

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Dermatology

NUCC Taxonomy Code: 207N00000X

State License NM MD2009-0594

Dermatology

NUCC Taxonomy Code: 207N00000X

State License ID M-15814

Hospital & Practice Group Affiliations

Hattiesburg Clinic Pa

415 S 28th Ave, Hattiesburg, MS 394017246

Phone: 6012646000

Secondary Practice Locations

6200 Uptown Blvd Ne, Ste 410

Albuquerque, NM 871104159

Phone: 5052437546

1363 Fillmore St Ste A

Twin Falls, ID 833013392

Phone: 2085955424

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Lori Howell , FNP

Nurse Practitioner - Family

NPI 1366999799

Family Nurse Practitioner

Rhonda Hicks , FNP

Nurse Practitioner - Family

NPI 1467495192

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location November 29, 2023

Registered at 136 S 15TH AVE, LAUREL, MS 394404124 (Tel: 6014288428)

📍

Updated Practice Location September 15, 2023

Registered at 415 S 28TH AVE, HATTIESBURG, MS 394017246 (Tel: 6014288428)

📍

Updated Practice Location August 29, 2023

Registered at 1420 JEFFERSON ST, LAUREL, MS 394404243 (Tel: 6014288428)

📍

Updated Business Mailing Address August 29, 2023

Registered at 415 S 28TH AVE, HATTIESBURG, MS 394017246 (Tel: 6014288428)

📍

Updated Practice Location June 08, 2022

Registered at 1363 FILLMORE ST STE A, TWIN FALLS, ID 833013392 (Tel: 2085955424)

📍

Updated Business Mailing Address June 08, 2022

Registered at 147 W CHUBBUCK RD, CHUBBUCK, ID 832022314 (Tel: 2082387546)

✅

NPI Profile Active November 14, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location November 14, 2011

Registered at 6200 UPTOWN BLVD NE, STE 410, ALBUQUERQUE, NM 871104159 (Tel: 5052437546)

📍

Updated Business Mailing Address November 14, 2011

Registered at 6200 UPTOWN BLVD NE, STE 410, ALBUQUERQUE, NM 871104159 (Tel: 5052437546)

👤

Provider Name / Credentials Updated November 14, 2011

Recorded as ROBERT WALTERS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2011

Dermatology (License #MD2009-0594 in NM)

🟢

Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548482482

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 02, 2007

Last Update: November 29, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

415 S 28th Ave

Hattiesburg, MS 394017246

Phone: 6014288428

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.