NPI 1053755652 · live from the CMS NPI Registry
Porter Hudson Glover, M.D.
Internal Medicine, Gastroenterology in Hattiesburg, MS. National Provider Identifier 1053755652, active.
NPI record
| NPI | 1053755652 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 415 S 28th Ave, Hattiesburg, MS 39401 |
| Practice phone | 601-268-5680 |
| Enumerated | April 25, 2013 |
| Last updated | July 14, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | BP10047200 (TX) |
| Internal Medicine | 207R00000X | 302392 (LA) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 25780 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.